NPIMap

Organization Active NPI

Bay Psychological Associates PC

  • Psychiatry Physician
  • Bay City, MI
National Provider Identifier
1932292240
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301035010
Legal business name
BAY PSYCHOLOGICAL ASSOCIATES PC
Practice address
3941 Traxler Court
Suite 300
Bay City, MI 48706
Phone
(989) 686-1990
Fax
(989) 686-0474
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Rita Mae Sierakowski, MALLP
Title
Executive Director
Phone
(989) 686-1990

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401006762
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401001984
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301002384
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301007950
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301009280
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301003403
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 6801071978
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 6801064601
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 4301035010 Primary

Addresses

Primary practice location

3941 Traxler Court
Suite 300
Bay City, MI 48706

Mailing address

3941 Traxler Court
Suite 300
Bay City, MI 48706
Phone (989) 686-1990

Other identifiers 3

IdentifierTypeStateIssuer
4438960OtherAETNA
7509105610OtherBCBSM
7509105610OtherFEDERAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

3941 Traxler Ct
Ste 300
Bay City, MI 48706
Phone (989) 686-1990

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1932292240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 TRAXLER COURT",
            "address_2": "SUITE 300",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-686-1990",
            "fax_number": "989-686-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 TRAXLER COURT",
            "address_2": "SUITE 300",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-686-1990",
            "fax_number": "989-686-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PSYCHOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "SIERAKOWSKI",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-686-1990",
        "authorized_official_credential": "MALLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "6401006762",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "6401001984",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "6301002384",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "6301007950",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "6301009280",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "6301003403",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": "6801071978",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": "6801064601",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": "4301035010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4438960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "7509105610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "7509105610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.