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

Active since April 18, 2008
512 S UNION ST, TRAVERSE CITY, MI 49684(231) 941-6550 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Old Town Psychological Services NPPES

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

OLD TOWN PSYCHOLOGICAL SERVICES (NPI 1093989162) is a healthcare organization registered as a clinical in Traverse City, Michigan and active in the NPI registry since April 2008. The organization lists Michael P Hayes, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1093989162
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameOLD TOWN PSYCHOLOGICAL SERVICES
Location Address512 S UNION STTraverse City, MI 49684-3247
Mailing Address512 S Union StTraverse City, MI 49684-3247
Phone(231) 941-6550
Organization SubpartNo
Authorized OfficialMichael P HayesClinical Director · (231) 941-6550
Enumeration DateApril 18, 2008
Last NPPES UpdateMay 6, 2010
✔ NPI 1093989162 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 · 6301008748
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.
512 S UNION ST, Traverse City, MI 49684
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Other Identifiers 1

Medicare PIN0M58730MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 13

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

ROBERT ALLEN BEVIER PHD
Psychologist
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550
MR. BRIAN MAJERCZYK MA, LLP
Psychologist (Cognitive & Behavioral)
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550
KELLY D DAUNTER MA,LLP
Psychologist
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550
KENNETH HOMA L.S.W.
Social Worker (Clinical)
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550
DR. PAUL D WINKLER PSYD
Counselor (Mental Health)
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550
MS. THERESA DAWN STACK LMSW
Social Worker (Clinical)
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550
MR. GREGORY R HAMILTON MA LPC
Counselor (Mental Health)
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550
MR. JEFF SMITH C.M.S.W.
Social Worker (Clinical)
512 S UNION ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-6550

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 Old Town Psychological Services's NPI number?

The NPI number for Old Town Psychological Services is 1093989162. It was assigned to this organization in the NPPES registry on April 18, 2008.

Where is Old Town Psychological Services located?

Old Town Psychological Services is located at 512 S Union St, Traverse City, MI 49684. The listed phone number is (231) 941-6550.

What is Old Town Psychological Services's specialty?

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

What insurance does Old Town Psychological Services accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Old Town Psychological Services 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.

When was this NPI record last updated?

The NPPES record for Old Town Psychological Services was last updated on May 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.