Sage Tree Psychology Group LLC
NPI 1265979397ActiveOrganization· Psychologist· Oxford, MI
Psychologist in Oxford, Michigan, registered in NPPES in January 2017. The authorized official on file is Dawn Bane Gventer, PSY.D, Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265979397 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2017 |
| Last updated in NPPES | Jan 28, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6301013477 | MI |
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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