OLD TOWN PSYCHOLOGICAL SERVICES
NPI 1093989162
Psychologist - Clinical in Traverse City, MI
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Old Town Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Old Town Psychological Services, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Old Town Psychological Services enrolled in Medicare?
Yes. Old Town Psychological Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old Town Psychological Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Old Town Psychological Services. A 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 the clinician's services. The largest specialties are Clinical Psychologist (4), Clinical Social Worker (4) and Mental Health Counselor (3). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Old Town Psychological Services · NPI 1093989162
Clinical organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since April 18, 2008.
## Identity
- **NPI:** 1093989162 (Entity type: Organization)
- **Enumerated:** April 18, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Michael Hayes, CLINICAL DIRECTOR
## Practice location
- **Address:** 512 S UNION ST, Traverse City, MI 49684-3247
- **Phone:** (231) 941-6550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (4), Clinical Social Worker (4), Mental Health Counselor (3); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2010
- **Other identifiers:** Medicare PIN 0M58730 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1093989162) · Data from the CMS NPPES public registry.