Individual provider Active NPI

Janet Marie Fulgenzi, PHD

  • Clinical Psychologist
  • Saginaw, MI
National Provider Identifier
1164699617
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301002537 Issued in MI
Practice address
5800 Weiss Street
Saginaw, MI 48603-2799
Phone
(989) 797-6682
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301002537 MI Primary

Addresses

Primary practice location

5800 Weiss Street
Saginaw, MI 48603-2799

Mailing address

5800 Weiss Street
Saginaw, MI 48603-2799
Phone (989) 797-6682

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
I20191014003149 MI Practitioner - Clinical Psychologist 8022349570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
List Psychological Services, PLCGroup PAC ID 6709799323, 28 clinicians

Practice addresses (Care Compare)

5024 N Ctr Rd
Saginaw, MI 48604-9412
Phone (989) 790-3130

Merit-based Incentive Payment System (MIPS)

Final score
41.32 of 100Reported as group
Quality
20
Improvement activities
0
Cost
84.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
List Psychological Services, PLC Clinical CurrentSince Sep 17, 2019 Accepting new patients
List Psychological Services, PLC Clinical Current Accepting new patients

Locations

126 Washington Ave
Bay City, MI 48708
Phone (989) 684-7977

443 N State St
Caro, MI 48723
Phone (989) 672-6160

651 N State St
Caro, MI 48723
Phone (989) 672-6160

624 W Nepessing St
Ste 300
Lapeer, MI 48446
Phone (810) 667-4500

5024 N Center Rd
Saginaw, MI 48604
Phone (989) 672-6160

Organizations & group practices 2

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1164699617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEISS STREET",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032799",
            "telephone_number": "989-797-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 WEISS STREET",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032799",
            "telephone_number": "989-797-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGENZI",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.