Active NPI
Arthur Abdull Mayo Jr.
- Clinical Social Worker
- Saginaw, MI
National Provider Identifier
1811501067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851118372
- Practice address
- 900 Cooper Ave
Saginaw, MI 48602-5182 - Phone
- (989) 583-0000
- NPI assigned
- Sep 4, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851118372 | MI | Primary |
Addresses
Primary practice location
900 Cooper Ave
Saginaw, MI 48602-5182
Mailing address
PO Box 663
Lakeland, MI 48143-0663
Phone (810) 599-2129
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851118372 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Behavioral Respite Inc. | Current | Accepting new patients | |
| ABA Pathways, LLC | Past | Accepting new patients |
Locations
300 Saint Andrews Rd
Ste 409
Saginaw, MI 48638
Phone (989) 341-3653
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.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Saginaw, MI
- NPI 1619503356
-
- Behavior Analyst
- Ann Arbor, MI
- NPI 1770838468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1811501067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 663",
"city": "LAKELAND",
"state": "MI",
"postal_code": "481430663",
"telephone_number": "810-599-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COOPER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025182",
"telephone_number": "989-583-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "ARTHUR",
"middle_name": "ABDULL",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851118372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.