Individual provider Active NPI

Sarah Faye Wice, PHD

  • Psychologist
  • Okemos, MI
National Provider Identifier
1548667462
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301015416 Issued in MI
Practice address
4660 Marsh Rd
Okemos, MI 48864-2143
Phone
(517) 898-0005
Fax
(517) 347-7892
NPI assigned
Nov 20, 2014
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301015416 MI Primary

Addresses

Primary practice location

4660 Marsh Rd
Okemos, MI 48864-2143

Mailing address

4660 Marsh Rd Ste 28
Okemos, MI 48864-2143
Phone (517) 898-0005

Other names 1

  • Sarah Faye Cline 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
I20160302001641 MI Practitioner - Clinical Psychologist 5395069173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4660 Marsh Rd
Okemos, MI 48864-2143
Phone (517) 898-0005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Wice, PHD, PLLC CurrentSince Oct 26, 2015 Accepting new patients
Women's Personal Growth and Psychotherapy Center, PC PastSince Aug 14, 2022 Accepting new patients

Locations

1558 Haslett Rd
Ste 2
Haslett, MI 48840
Phone (517) 898-0005

4660 Marsh Rd
Okemos, MI 48864
Phone (517) 347-2126

4660 Marsh Rd
Ste 28
Okemos, MI 48864
Phone (517) 242-9110

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1548667462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 MARSH RD STE 28",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642143",
            "telephone_number": "517-898-0005",
            "fax_number": "517-347-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MARSH RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642143",
            "telephone_number": "517-898-0005",
            "fax_number": "517-347-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICE",
        "first_name": "SARAH",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CLINE",
            "middle_name": "FAYE",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.