Individual provider Active NPI

Scott William Trylch, EDD

  • Counseling Psychologist
  • Saginaw, MI
National Provider Identifier
1447358171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301001438 Issued in MI
Practice address
120 N Michigan Ave
220
Saginaw, MI 48602-4236
Phone
(989) 790-5988
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

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
Counseling Psychologist 103TC1900X 6301001438 MI Primary

Addresses

Primary practice location

120 N Michigan Ave
220
Saginaw, MI 48602-4236

Mailing address

579 N Wilderness Dr
Midland, MI 48640-8628
Phone (989) 631-6990

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
I20120523000145 MI Practitioner - Clinical Psychologist 4880857291 Practice locations: Bay City, MI; Midland, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

579 N Wilderness Dr
Midland, MI 48640-8628
Phone (989) 631-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott W. Trylch PastSince Mar 22, 2012 Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447358171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 N WILDERNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408628",
            "telephone_number": "989-631-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MICHIGAN AVE",
            "address_2": "220",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024236",
            "telephone_number": "989-790-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYLCH",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301001438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.