NPIMap

Organization Active NPI

Saginaw Psychological Services, Inc.

  • Psychologist
  • Saginaw, MI
National Provider Identifier
1821163882
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SAGINAW PSYCHOLOGICAL SERVICES, INC.
Practice address
2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone
(989) 799-2100
Fax
(989) 799-2637
NPI assigned
Nov 22, 2006
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Nathalie Menendes, PSY.DNPI 1407933492
Title
Coo
Phone
(989) 799-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MI
Psychologist 103T00000X MI Primary
Social Worker 104100000X MI

Addresses

Primary practice location

2100 Hemmeter Rd
Saginaw, MI 48603-3944

Mailing address

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

Other identifiers 4

IdentifierTypeStateIssuer
700G36088OtherMIBCBS
800G36205OtherMIBCBS
680F31140OtherMIBCBS
730195MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040216000823 MI Part B Supplier - Clinic/Group Practice 8426961467 Receives reassigned benefits from 50 practitioners
Practice locations: Saginaw, MI
O20060419000766 MI Part B Supplier - Clinic/Group Practice 8426961467 Receives reassigned benefits from 5 practitioners
Practice locations: Bay City, MI; Saginaw, MI
O20070813000083 MI Part B Supplier - Clinic/Group Practice 8426961467 Receives reassigned benefits from 2 practitioners
Practice locations: Bay City, MI; Saginaw, MI

National Provider Directory

National Provider Directory

Locations

1000 N Johnson St
Bay City, MI 48708
Phone (989) 895-8666

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1821163882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HEMMETER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033944",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HEMMETER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033944",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "MENENDES",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-799-2100",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700G36088",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "800G36205",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680F31140",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730195",
            "state": "MI"
        }
    ],
    "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 Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.