NPIMap

Organization Active NPI

Mid-Michigan Behavioral Health, PC

  • Psychiatry Physician
  • Owosso, MI
National Provider Identifier
1083823835
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MID-MICHIGAN BEHAVIORAL HEALTH, PC
Practice address
802 W King St Ste G
Owosso, MI 48867-2100
Phone
(989) 725-8124
Fax
(989) 723-1205
NPI assigned
May 21, 2007
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Nazar A Al-Saidi, MDNPI 1831158153
Title
President
Phone
(989) 725-8124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Counselor 101Y00000X
Clinical Social Worker 1041C0700X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

802 W King St Ste G
Owosso, MI 48867-2100

Mailing address

802 W King St Ste G
Owosso, MI 48867-2100
Phone (989) 725-8124

Other identifiers 1

IdentifierTypeStateIssuer
1083823835MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000424 MI Part B Supplier - Clinic/Group Practice 2365338225 Receives reassigned benefits from 10 practitioners
Practice locations: Owosso, MI

National Provider Directory

National Provider Directory

Locations

1488 N M 52
Owosso, MI 48867
Phone (989) 725-8124

721 N Shiawassee St
Ste 201
Owosso, MI 48867
Phone (989) 627-9133

802 W King St
Ste G
Owosso, MI 48867
Phone (989) 725-8124

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1083823835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W KING ST STE G",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-725-8124",
            "fax_number": "989-723-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W KING ST STE G",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-725-8124",
            "fax_number": "989-723-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "AL-SAIDI",
        "authorized_official_first_name": "NAZAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-725-8124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083823835",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.