Individual provider Active NPI

Megan E Manierski, PSY.D.

  • Psychologist
  • Okemos, MI
National Provider Identifier
1114757457
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2368 Issued in AL
Practice address
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone
(334) 758-6603
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2368 AL Primary

Addresses

Primary practice location

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Mailing address

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone (334) 758-6603

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513001494 MI Practitioner - Clinical Psychologist 9234657354 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2368ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince May 6, 2025 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jan 1, 2026 Accepting new patients
Stride Psychology, LLC Psychologist Current Accepting new patients
Mymichigan Medical Group CurrentSince May 6, 2025 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jan 1, 2026 Accepting new patients

Locations

315 E Warwick Dr
Ste A
Alma, MI 48801
Phone (866) 645-5578

315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300

315 E Warwick Dr
Ste B
Alma, MI 48801
Phone (989) 466-2663

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

100 Rose Ctr
Mount Pleasant, MI 48859
Phone (989) 774-3041

4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009

2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1114757457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "334-758-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "334-758-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIERSKI",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.