Crescent Roots Psychological Services, PLLC
NPI 1164988481ActiveOrganization· Psychologist· Novi, MI
Psychologist in Novi, Michigan, registered in NPPES in February 2019. The authorized official on file is Jason Beers, PSYD, Licensed Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164988481 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2019 |
| Last updated in NPPES | Mar 28, 2025 |
| Certified by provider | Mar 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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