Active NPI
Melissa Saren
- Clinical Psychologist
- Adrian, MI
National Provider Identifier
1487020939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016399
- Practice address
- 1200 N Main St
Adrian, MI 49221-1759 - Phone
- (517) 263-1800
- Fax
- (517) 263-1866
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016399 | MI | Primary |
Addresses
Primary practice location
1200 N Main St
Adrian, MI 49221-1759
Mailing address
8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02214 | Other | MI | PARAMOUNT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 31, 2025 through Jan 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016399 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1487020939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 LEWIS AVE",
"city": "TEMPERANCE",
"state": "MI",
"postal_code": "481829583",
"telephone_number": "734-847-3802",
"fax_number": "734-847-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N MAIN ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211759",
"telephone_number": "517-263-1800",
"fax_number": "517-263-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAREN",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "02214",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.