Old Town Psychological Services
NPI 1093989162ActiveOrganization· Psychologist, Clinical· Traverse City, MI
Psychologist, Clinical in Traverse City, Michigan, registered in NPPES in April 2008. The authorized official on file is Michael P. Hayes, PH.D., Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093989162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2008 |
| Last updated in NPPES | May 6, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301008748 | 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 Part B Supplier - Clinic/Group Practice (MI) |
|---|
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