Individual provider Active NPI

Saige M Twombly, PSY.D.

  • Clinical Psychologist
  • Cadillac, MI
National Provider Identifier
1194208587
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301017612 Issued in MI
Practice address
8660 S Mackinaw TRL
Cadillac, MI 49601-9746
Phone
(231) 846-8191
Fax
(231) 600-7091
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 6301017612 MI Primary

Addresses

Primary practice location

8660 S Mackinaw TRL
Cadillac, MI 49601-9746

Mailing address

8660 S Mackinaw TRL
Cadillac, MI 49601-9746
Phone (231) 846-8191

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
I20230719003724 MI Practitioner - Clinical Psychologist 8426418617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8371 W Blue Rd
Lake City, MI 49651-8661
Phone (802) 989-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301017612MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saige Twombly Psychology PLLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
Lai Psychological Services LLC Clinical CurrentSince Apr 3, 2024 Accepting new patients
Place of Hope PLC PastSince Apr 3, 2024 Accepting new patients
Judson Center, Inc. Clinical Past Accepting new patients
Milinda'S Counseling Services, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

43700 Woodward Ave
Ste 204
Bloomfield Township, MI 48302
Phone (248) 658-8121

8660 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 846-8191

Organizations & group practices 5

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1194208587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 S MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019746",
            "telephone_number": "231-846-8191",
            "fax_number": "231-600-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 S MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019746",
            "telephone_number": "231-846-8191",
            "fax_number": "231-600-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWOMBLY",
        "first_name": "SAIGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.