Organization Active NPI

Up North Psychology

  • Counseling Psychologist
  • Gaylord, MI
National Provider Identifier
1962103309
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
UP NORTH PSYCHOLOGY
Practice address
145 W Main St Ste 200
Gaylord, MI 49735-1300
Phone
(989) 370-8056
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Jeanette Sayre, MA LLP CAADCNPI 1841747433
Title
Owner, Operator
Phone
(989) 370-8056

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
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

145 W Main St Ste 200
Gaylord, MI 49735-1300

Mailing address

6604 Woodcock CT
Gaylord, MI 49735-8746
Phone (989) 370-8056

National Provider Directory

National Provider Directory

Locations

145 W Main St
Ste 200
Gaylord, MI 49735
Phone (989) 370-8056

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1962103309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 WOODCOCK CT",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358746",
            "telephone_number": "989-370-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W MAIN ST STE 200",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351300",
            "telephone_number": "989-370-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "989-370-8056",
        "authorized_official_credential": "MA LLP CAADC"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.