Dawn Gventer, PSY. D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013477 Issued in MI

Practice address

1179 Bellwood CT
Oxford, MI 48371-6732

Phone

(248) 303-1382

Fax

(248) 268-0128

NPI assigned

Jul 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

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.

• Sage Tree Psychology Group LLC

  • Psychologist
  • Oxford, MI
  • NPI 1265979397
  Medicare reassignment NPD Authorized official
• Macomb Family Services, Inc

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1326599036
  NPD (past)
• Macomb Family Services, Inc.

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1831190701
  NPD (past)
• Mielke & Weeks, P. C.

  • Psychologist
  • Rochester Hills, MI
  • NPI 1144398504
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485648000000",
    "number": "1669470266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 BELLWOOD CT",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716732",
            "telephone_number": "248-303-1382",
            "fax_number": "248-268-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 BELLWOOD CT",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716732",
            "telephone_number": "248-303-1382",
            "fax_number": "248-268-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GVENTER",
        "first_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2017-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "86825A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162144301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward R. Grabenstein, D.C.
• Stacey Grandmason
• Barbara Grimes
• Megan Groat, CTRS
• Maureen Gumbel, LMSW
• Saeed Habeb
• Emma-Jo Haden
• Sarah E Hall, RN
• Deborah Joan Hamilton, R.N
• Sherry Hanna, M.D.

• Psychologist in Oxford, MI
• Providers in Oxford, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.