Individual provider Active NPI

Wendy Bertges Yost, PH.D.

  • Clinical Psychologist
  • Clinton Township, MI
National Provider Identifier
1235337866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301011796 Issued in MI
Practice address
42633 Garfield Rd
Suite 314
Clinton Township, MI 48038-5033
Phone
(586) 226-7007
Fax
(586) 226-7033
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6301011796 MI Primary

Addresses

Primary practice location

42633 Garfield Rd
Suite 314
Clinton Township, MI 48038-5033

Mailing address

22146 Beechwood Ave
Eastpointe, MI 48021-3816
Phone (586) 778-6631

Other names 1

  • Wendy Marie Bertges Former name

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
I20051025000509 MI Practitioner - Clinical Psychologist 7214954791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Psychologists PLCGroup PAC ID 5799827218, 7 clinicians

Practice addresses (Care Compare)

19900 E 10 Mile Rd
Suite 102
Saint Clair Shores, MI 48080-4412
Phone (586) 776-3366

National Provider Directory

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

Organizations & group practices 1

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235337866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22146 BEECHWOOD AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213816",
            "telephone_number": "586-778-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42633 GARFIELD RD",
            "address_2": "SUITE 314",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385033",
            "telephone_number": "586-226-7007",
            "fax_number": "586-226-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOST",
        "first_name": "WENDY",
        "middle_name": "BERTGES",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BERTGES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.