Active NPI
Sarah M Lytle, MA, LLP
- Psychologist
- Flint, MI
National Provider Identifier
1770050999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361006902
- Practice address
- 1102 Mackin Rd
Flint, MI 48503-1204 - Phone
- (810) 257-3705
- NPI assigned
- Oct 25, 2018
- Last updated
- Jun 19, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361006902 | MI | Primary |
Addresses
Primary practice location
1102 Mackin Rd
Flint, MI 48503-1204
Mailing address
1440 Torrey Rd Ste E
Fenton, MI 48430-1340
Phone (248) 821-5083
Other practice location 1
1440 Torrey Rd Ste E
Fenton, MI 48430-1340
Phone (248) 821-5083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043554348 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361006902 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bauer Psychological Services PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Five Lakes Counseling & Psychological Services
- Clinical Psychologist
- Wyoming, MI
- NPI 1497506273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1770050999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 TORREY RD STE E",
"city": "FENTON",
"state": "MI",
"postal_code": "484301340",
"telephone_number": "248-821-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 MACKIN RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485031204",
"telephone_number": "810-257-3705"
}
],
"practiceLocations": [
{
"address_1": "1440 Torrey Rd Ste E",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MI",
"postal_code": "484301340",
"country_code": "US",
"telephone_number": "248-821-5083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYTLE",
"first_name": "SARAH",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361006902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043554348",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.