Individual provider Active NPI

Anne Mangalindan Tadeo, M.D.

  • Psychiatry Physician
  • Bay City, MI
National Provider Identifier
1083773717
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301074102 Issued in MI
Practice address
690 S Trumbull St
Bay City, MI 48708
Phone
(989) 922-4900
Fax
(989) 922-4911
NPI assigned
Dec 8, 2006
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A90005 CA
Psychiatry Physician 2084P0800X 4301074102 MI Primary

Addresses

Primary practice location

690 S Trumbull St
Bay City, MI 48708

Mailing address

690 S Trumbull St
Bay City, MI 48708-7692
Phone (989) 922-4900

Other practice location 1

500 Hancock Street
Saginaw, MI 48602-4224
Phone (989) 797-3400

Other practice location 2

4713 State St
Saginaw, MI 48603-3808
Phone (989) 270-1749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000128 MI Practitioner - PsychiatryPractitioner - Neuropsychiatry 4880635564 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, shared by 5 NPIs, 110 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90005CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Havenwyck Hospital Inc Psychiatry CurrentSince Oct 14, 2017 Accepting new patients
Havenwyck Hospital Inc CurrentSince Oct 14, 2017 Accepting new patients
McLaren Bay Region CurrentSince Dec 1, 2022 Accepting new patients
Saginaw County Community Mental Health Authority CurrentSince Jun 1, 2011 Accepting new patients
McLaren Bay Region Psychiatry CurrentSince Feb 11, 2017 Accepting new patients

Locations

1525 University Dr
Auburn Hills, MI 48326
Phone (248) 371-2200

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

690 S Trumbull St
Bay City, MI 48708
Phone (989) 922-4900

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

500 Hancock St
Saginaw, MI 48602
Phone (989) 797-3400

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1083773717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48708",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Hancock Street",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024224",
            "country_code": "US",
            "telephone_number": "989-797-3400",
            "fax_number": "989-797-3522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4713 State St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033808",
            "country_code": "US",
            "telephone_number": "989-270-1749",
            "fax_number": "989-401-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADEO",
        "first_name": "ANNE",
        "middle_name": "MANGALINDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A90005",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301074102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.