Becky Nagy, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014295 Issued in MI

Practice address

57239 N Main St
Three Rivers, MI 49093-9419

Phone

(269) 273-0030

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emdr and Wellness SolutionsGroup PAC ID 3274962378, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Emdr and Wellness Solutions

  • Psychologist
  • Three Rivers, MI
  • NPI 1629604723
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1225391055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57239 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939419",
            "telephone_number": "616-235-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57239 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939419",
            "telephone_number": "269-273-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY",
        "first_name": "BECKY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042382A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M54203001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Muneeb Arif Mufti, MD
• Constance Mumford
• Kimberly Joy Myers, FNP-C
• William Charles Myers, FNP
• Myeyedr Optometry of Michigan, LLC (RX Optical)
• Kallanagouda Nandihalli, M.D.
• Marceline Aleece Nevins, OTR
• Peter Newhouse
• Erin K Nowak, MS, OTR, CHT
• Heidi R Olivares, LMSW

• Clinical Psychologist in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.