Individual provider Active NPI

Margaret Louise Sartori, PH.D

  • Clinical Psychologist
  • Saint Clair Shores, MI
National Provider Identifier
1639279235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006866 Issued in MI
Practice address
22811 Greater Mack Ave
Suite L9
Saint Clair Shores, MI 48080-2021
Phone
(586) 775-5620
NPI assigned
Sep 23, 2006
Sex
Female
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
Clinical Psychologist 103TC0700X 6301006866 MI Primary

Addresses

Primary practice location

22811 Greater Mack Ave
Suite L9
Saint Clair Shores, MI 48080-2021

Mailing address

16742 Fulton Pines CT
Livonia, MI 48154-6400
Phone (734) 524-0177

Other identifiers 1

IdentifierTypeStateIssuer
680E049090OtherMIBLUE CROSS BLUE SHIELD

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
I20101230000675 MI Practitioner - Clinical Psychologist 4486842747 Practice locations: Southfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26206 W 12 Mile Rd
Suite 203
Southfield, MI 48034-1799
Phone (734) 674-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301006866MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Analytics Home Health Care Inc PastSince Jun 1, 2021 Accepting new patients
Humble Hospice Inc PastSince Jan 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639279235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 FULTON PINES CT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546400",
            "telephone_number": "734-524-0177",
            "fax_number": "734-261-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE",
            "address_2": "SUITE L9",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802021",
            "telephone_number": "586-775-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTORI",
        "first_name": "MARGARET",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "680E049090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.