Individual provider Active NPI

James Spegel

  • Clinical Social Worker
  • Standish, MI
National Provider Identifier
1437690419
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1000 W Cedar St
Standish, MI 48658
Phone
(989) 895-2300
NPI assigned
Mar 10, 2017
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1000 W Cedar St
Standish, MI 48658

Mailing address

1000 W Cedar St
Standish, MI 48658-9421

Other practice location 1

G3169 Beecher Rd
Suite 203
Flint, MI 48532-3611
Phone (810) 237-0799

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
I20210602002645 MI Practitioner - Clinical Social Worker 1456750967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay-Arenac Behavioral Health CurrentSince May 17, 2021 Accepting new patients
Bay Arenac Behavioral Health Past Accepting new patients

Locations

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

1000 W Cedar St
Standish, MI 48658
Phone (989) 846-4573

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1437690419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "48658",
            "telephone_number": "989-895-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G3169 Beecher Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323611",
            "country_code": "US",
            "telephone_number": "810-237-0799",
            "fax_number": "517-676-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEGEL",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Standish, MI

Sources for this page

Verify at the official NPI Registry.