Individual provider Active NPI

Alyse F Ley, D.O.

  • Psychiatry Physician
  • East Lansing, MI
National Provider Identifier
1861609992
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101015303 Issued in MI
Practice address
909 Wilson Rd RM B119
East Lansing, MI 48824-6410
Phone
(517) 355-3070
Fax
(517) 884-1817
NPI assigned
May 17, 2007
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101015303 MI Primary

Addresses

Primary practice location

909 Wilson Rd RM B119
East Lansing, MI 48824-6410

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 353-3070

Other identifiers 1

IdentifierTypeStateIssuer
1861609992MedicaidMI

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000555 MI Practitioner - Psychiatry 7517033913 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

909 Wilson Rd
Suite B119
East Lansing, MI 48824-6410
Phone (517) 353-3070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015303MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University Psychiatry CurrentSince Nov 1, 2016 Accepting new patients
Michigan State University CurrentSince Nov 1, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Nov 1, 2008 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Nov 1, 2008 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Michigan State University Psychiatry Current Accepting new patients
Michigan State University Psychiatry Past Accepting new patients
Michigan State University Psychiatry Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

463 E Circle Dr
Rm 102
East Lansing, MI 48824
Phone (517) 884-6546

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
#A201
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

909 Wilson Rd
Rm B119
East Lansing, MI 48824
Phone (517) 355-3070

909 Wilson Rd
Ste B119
East Lansing, MI 48824

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Interoperability endpoints

  • Direct secure messaging: alyse.ley.1@25394.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1861609992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-3070",
            "fax_number": "517-884-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WILSON RD RM B119",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488246410",
            "telephone_number": "517-355-3070",
            "fax_number": "517-884-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEY",
        "first_name": "ALYSE",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101015303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861609992",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.