NPIMap

Organization Active NPI

Tri-City Treatment Center LLC

  • Medical Specialty Clinic/Center
  • Saginaw, MI
National Provider Identifier
1205484052
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
TRI-CITY TREATMENT CENTER LLC
Practice address
355 N Center Rd
Saginaw, MI 48638-5849
Phone
(989) 401-8916
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Kristin Mae Mendyk
Title
Business Office Manager
Phone
(989) 401-8916

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

355 N Center Rd
Saginaw, MI 48638-5849

Mailing address

355 N Center Rd
Saginaw, MI 48638-5849
Phone (989) 798-3036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191008003209 MI Part B Supplier - Clinic/Group Practice 0547591406 Receives reassigned benefits from 4 practitioners
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

355 N Center Rd
Saginaw, MI 48638
Phone (989) 401-8916

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1205484052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-798-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-401-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "MENDYK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "989-401-8916"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.