Daniel Timothy Tetzlaff, PSYD, JD
NPI 1053685487ActiveIndividual· Psychologist, Clinical· Sault Sainte Marie, MI
Psychologist, Clinical (PSYD, JD) with Mymichigan Medical Center Sault, practicing in Sault Sainte Marie, Michigan. Medicare paid $17,665 for services to 61 patients in 2024. Lists Chippewa County War Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053685487 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, JD |
| Sole proprietor | No |
| NPI issued | Mar 2, 2012 |
| Last updated in NPPES | Mar 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301015059 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 247 across 10 procedure codes |
| Paid by Medicare | $17,665 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Mymichigan Medical Center SaultSault S Marie, MI · 102 clinicians
Hospital affiliations
- Chippewa County War Memorial HospitalSault Ste Marie, MI
- Mymichigan Medical Center AlpenaAlpena, MI
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