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DR. DANIEL TIMOTHY TETZLAFF PSYD, JD
NPI 1053685487
Psychologist - Clinical in Sault Sainte Marie, MI

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
605 E 7TH AVE, SAULT SAINTE MARIE, MI 49783(906) 635-7270 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Daniel Timothy Tetzlaff Psyd, Jd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL TIMOTHY TETZLAFF PSYD, JD (NPI 1053685487) is an individual clinical provider in Sault Sainte Marie, Michigan, licensed in Michigan (6301015059) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053685487
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DANIEL TIMOTHY TETZLAFFCredential: PSYD, JD
Location Address605 E 7TH AVESault Sainte Marie, MI 49783-3111
Mailing Address605 E 7th AveSault Sainte Marie, MI 49783-3111 · (906) 635-7270
Phone(906) 635-7270
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 2, 2012
✔ NPI 1053685487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301015059
Definition
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.
605 E 7TH AVE, Sault Sainte Marie, MI 49783
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Timothy Tetzlaff Psyd, Jd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840555629
PECOS Enrollment IDI20180526000027
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Daniel Tetzlaff reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mymichigan Medical Center Sault
0.9 mi
Rural Health
509 OSBORN BLVD
Sault Sainte Marie, MI 49783
  • Reassigned Medicare billing, Michigan enrollment
  • 185 clinicians in this Medicare group
NPI 1720145303 (906) 635-4460
Mymichigan Medical Center Alpena
106 mi
Orthopaedic Surgery
401 LONG RAPIDS PLZ
Alpena, MI 49707
  • Reassigned Medicare billing, Michigan enrollment
  • 219 clinicians in this Medicare group
NPI 1629146691 (989) 356-9333
Mymichigan Medical Center West Branch
153 mi
Family Medicine
2463 S M 30
West Branch, MI 48661
  • Reassigned Medicare billing, Michigan enrollment
  • 179 clinicians in this Medicare group
NPI 1518418292 (989) 345-3660
Mymichigan Medical Center Clare
185 mi
General Practice
703 N MCEWAN ST
Clare, MI 48617
  • Reassigned Medicare billing, Michigan enrollment
  • 159 clinicians in this Medicare group
NPI 1134394026 (989) 802-5000
Mymichigan Medical Center Midland
197 mi
Multi-Specialty
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 536 clinicians in this Medicare group
NPI 1205889490 (844) 832-1956
Mymichigan Medical Center Alma
199 mi
Nurse Practitioner
4851 E PICKARD ST
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 258 clinicians in this Medicare group
NPI 1356570808 (989) 775-1601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
122 services24 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
31 services31 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
22 services21 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
13 services13 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER MARK HESS LMSW
Social Worker (Clinical)
605 E 7TH AVE, SUITE 9
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-7270
MRS. JANET DAWN HESS MA MSW
Social Worker (Clinical)
605 E 7TH AVE, SUITE 9
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-7270
LOUISE MARIE DEWEY R.N., PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
605 E 7TH AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 440-2272
MRS. HELEN SANDRA FARRISH LMSW
Social Worker (Clinical)
605 E 7TH AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-7270
MRS. JACEY LYNN COOK LLP
Psychologist (Clinical)
605 E 7TH AVE, SUITE 9
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-7270
MRS. CHASIDY ANN(E) KEYSER MS, LBSW
Social Worker
605 E 7TH AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-7270
KYLE DAMON WOOD M.S., LLP
Psychologist (Clinical)
605 E 7TH AVE, SUITE 9
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-7270
WEBER AND DEVERS PSYCHOLOGICAL SERVICES, P.C.
Psychologist
605 E 7TH AVE
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-7270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Tetzlaff's NPI number?

The NPI number for Daniel Tetzlaff is 1053685487. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Daniel Tetzlaff located?

Daniel Tetzlaff practices at 605 E 7th Ave, Sault Sainte Marie, MI 49783. The listed phone number is (906) 635-7270.

What is Daniel Tetzlaff's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Daniel Tetzlaff enrolled in Medicare?

Yes. Daniel Tetzlaff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Daniel Tetzlaff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Tetzlaff reassigns Medicare benefits to 6 organizations: Mymichigan Medical Center Sault (Sault Sainte Marie, MI), Mymichigan Medical Center Alpena (Alpena, MI), Mymichigan Medical Center West Branch (West Branch, MI), Mymichigan Medical Center Clare (Clare, MI), Mymichigan Medical Center Midland (Midland, MI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Tetzlaff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Tetzlaff accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Daniel Tetzlaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Tetzlaff affiliated with any hospitals?

According to CMS data, Daniel Tetzlaff is affiliated with Mymichigan Medical Center Alpena and Chippewa County War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Tetzlaff was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.