OLD TOWN PSYCHOLOGICAL SERVICES
NPI 1093989162
Psychologist - Clinical in Traverse City, MI

NPI Status: Active since April 18, 2008

Contact Information

512 S UNION ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 941-6550

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  • Organization
  • Psychologist
  • Clinical
  • Accepts Insurance

About OLD TOWN PSYCHOLOGICAL SERVICES

This page provides the complete NPI Profile along with additional information for Old Town Psychological Services, a provider established in Traverse City, Michigan operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1093989162 assigned on April 2008. The practitioner's primary taxonomy code is 103TC0700X with license number 6301008748 (MI). The provider is registered as an organization and their NPI record was last updated 15 years ago. Old Town Psychological Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Michael P Hayes Ph.d. (Clinical Director)

NPI
1093989162
Provider Name
OLD TOWN PSYCHOLOGICAL SERVICES
Entity Type
Organization
Location Address
512 S UNION ST TRAVERSE CITY, MI 49684
Location Phone
(231) 941-6550
Mailing Address
512 S UNION ST TRAVERSE CITY, MI 49684
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2008
Last Update Date
05-06-2010
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A clinical psychologist like Old Town Psychological Services assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
6301008748
License State
MI
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL P HAYES PH.D.

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(231) 941-6550

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0M58730MEDICARE PIN (08)MI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093989162
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2018318818112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 8 + 8 + 1 + 8 + 1 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1093989162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528106606DR. MICHAEL PATRICK HAYES PH.D.
Individual
Psychologist (Clinical)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1427251909MS. THERESA DAWN STACK LMSW
Individual
Social Worker (Clinical)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1144415522MR. BRIAN MAJERCZYK MA, LLP
Individual
Psychologist (Cognitive & Behavioral)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1467610766MR. JEFF SMITH C.M.S.W.
Individual
Social Worker (Clinical)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1306082821DR. PAUL D WINKLER PSYD
Individual
Counselor (Mental Health)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1255579470 KENNETH HOMA L.S.W.
Individual
Social Worker (Clinical)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1245563279 KELLY D DAUNTER MA,LLP
Individual
Psychologist512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1790007250 MARYLIN FITZGERALD M.A. LLP
Individual
Psychologist (Counseling)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1447546924MR. GREGORY R HAMILTON MA LPC
Individual
Counselor (Mental Health)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1871851683 ANNA KELLOGG D'ANGELO LLP
Individual
Psychologist (Counseling)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1568486363MR. LAWRENCE JOSEPH PORTA L.M.H.C.
Individual
Counselor (Mental Health)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1598114613MS. BARBARA A POWELL M.S., L.P.C.
Individual
Counselor (Professional)512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550
1093262859 ROBERT ALLEN BEVIER PHD
Individual
Psychologist512 S UNION ST
TRAVERSE CITY, MI 49684
(231) 941-6550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093989162, enumerated in the NPI registry as an "organization" on April 18, 2008

The provider is located at 512 S Union St Traverse City, Mi 49684 and the phone number is (231) 941-6550

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, McLaren. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 18, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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