DR. ANN LOUISE DATE PSY.D.
NPI 1174746820
Psychologist in Midland, MI

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
720 W WACKERLY ST, SUITE 4, MIDLAND, MI 48640(989) 832-2165(989) 839-4376 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2021, Aug 13, 2018 (2 updates tracked since 2018).

About Dr. Ann Louise Date Psy.d. NPPES

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

DR. ANN LOUISE DATE PSY.D. (NPI 1174746820) is an individual psychologist in Midland, Michigan, licensed in Michigan (6301009535) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1174746820
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANN LOUISE DATECredential: PSY.D.
Location Address720 W WACKERLY ST, SUITE 4Midland, MI 48640-2769
Mailing AddressPo Box 2875Midland, MI 48641-2875 · (989) 832-2165
Fax(989) 839-4376
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateApril 11, 2007
Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
NPI 1174746820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301009535
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

720 W WACKERLY ST, Midland, MI 48640

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ann Louise Date Psy.d. 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 ID5597838607
PECOS Enrollment IDI20080723000398
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.

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.

Clinic/Center (Dental)
720 W WACKERLY ST
MIDLAND, MI 48640
Psychologist
720 W WACKERLY ST, SUITE 4
MIDLAND, MI 48640
Physician Assistant (Medical)
720 W WACKERLY ST, STE. 8
MIDLAND, MI 48640
Psychologist
720 W WACKERLY ST
MIDLAND, MI 48640
Psychologist (Clinical)
720 W WACKERLY ST
MIDLAND, MI 48640
Social Worker (Clinical)
720 W WACKERLY ST, STE 11
MIDLAND, MI 48640
Psychologist
720 W WACKERLY ST, SUITE 4
MIDLAND, MI 48640
Psychologist (Clinical)
720 W WACKERLY ST
MIDLAND, MI 48640

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 Ann Date's NPI number?

The NPI number for Ann Date is 1174746820. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Ann Date located?

Ann Date practices at 720 W Wackerly St Suite 4, Midland, MI 48640. The listed phone number is (989) 832-2165.

What is Ann Date's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ann Date enrolled in Medicare?

Yes. Ann Date 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.

What insurance does Ann Date accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Providence Health Plan list Ann Date 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 Ann Date was last updated on March 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.