Individual provider Active NPI

Clarissa Nicole Gayer, PSYD, LP

  • Clinical Psychologist
  • Novi, MI
National Provider Identifier
1932336948
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015515 Issued in MI
Practice address
44725 Grand River Ave Ste 104
Novi, MI 48375-1024
Phone
(734) 759-0000
NPI assigned
Jun 17, 2009
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301015515 MI Primary

Addresses

Primary practice location

44725 Grand River Ave Ste 104
Novi, MI 48375-1024

Mailing address

1521 Camden St
Ferndale, MI 48220-2671
Phone (248) 979-5179

Other practice location 1

1521 Camden St
Ferndale, MI 48220-2671
Phone (248) 979-5179

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218001939 MI Practitioner - Clinical Psychologist 0446518682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians

Practice addresses (Care Compare)

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Psychologist CurrentSince Aug 16, 2023 Accepting new patients
Downriver Mental Health Clinic PC Mental Health CurrentSince Aug 16, 2023 Accepting new patients
Supportive Care I of Michigan PC Clinical CurrentSince Aug 9, 2024 Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300

44725 Grand River Ave
Ste 104
Novi, MI 48375
Phone (248) 846-8345

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 4

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1932336948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CAMDEN ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202671",
            "telephone_number": "248-979-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 GRAND RIVER AVE STE 104",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751024",
            "telephone_number": "734-759-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Camden St",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482202671",
            "country_code": "US",
            "telephone_number": "248-979-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYER",
        "first_name": "CLARISSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.