Individual provider Active NPI

Robert R Bates, LLP

  • Psychologist
  • Grand Blanc, MI
National Provider Identifier
1598868622
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002113 Issued in MI
Practice address
5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193
Phone
(810) 428-1181
Fax
(810) 426-0009
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301002113 MI Primary

Addresses

Primary practice location

5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193

Mailing address

5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193
Phone (810) 428-0079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210115001912 MI Practitioner - Psychologist Billing Independently 4082027859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cognosis Health HillsideGroup PAC ID 5890158901, 15 clinicians

Practice addresses (Care Compare)

10761 S Saginaw St
Suite D
Grand Blanc, MI 48439-8168
Phone (810) 428-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301002113MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognosis Health Current Accepting new patients
Cognosis Health Hillside CurrentSince Aug 26, 2023 Accepting new patients
Cognosis Health CurrentSince Oct 22, 2023 Accepting new patients
Genesys Practice Partners, Inc. Past Accepting new patients

Locations

5445 Ali Dr
#320
Grand Blanc, MI 48439
Phone (810) 428-1181

Organizations & group practices 4

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1598868622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 ALI DR DEPT 320",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395193",
            "telephone_number": "810-428-0079",
            "fax_number": "810-426-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 ALI DR DEPT 320",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395193",
            "telephone_number": "810-428-1181",
            "fax_number": "810-426-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.