NPIMap

Organization Active NPI

Delta Psychological & Neurobehavioral Services, LLC

  • Mental Health Counselor
  • Bay City, MI
National Provider Identifier
1356376487
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DELTA PSYCHOLOGICAL & NEUROBEHAVIORAL SERVICES, LLC
Practice address
114 Tuscola
Bay City, MI 48708-6995
Phone
(989) 895-0788
Fax
(989) 895-0799
NPI assigned
Jul 11, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Ms. Anne M Olsen, MSW LMSW ACSWNPI 1821195124
Title
Partner Clinical Practice
Phone
(989) 895-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

114 Tuscola
Bay City, MI 48708-6995

Mailing address

114 Tuscola
Bay City, MI 48708-6995
Phone (989) 895-0788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050603000913 MI Part B Supplier - Clinic/Group Practice 5799728457 Receives reassigned benefits from 9 practitioners
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1356376487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TUSCOLA",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086995",
            "telephone_number": "989-895-0788",
            "fax_number": "989-895-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 TUSCOLA",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086995",
            "telephone_number": "989-895-0788",
            "fax_number": "989-895-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PSYCHOLOGICAL & NEUROBEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER CLINICAL PRACTICE",
        "authorized_official_telephone_number": "989-895-0788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LMSW ACSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.