STATE STREET BEHAVIORAL SERVICES
NPI 1265050793
Nurse Practitioner - Psychiatric/Mental Health in Saginaw, MI
About State Street Behavioral Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE STREET BEHAVIORAL SERVICES (NPI 1265050793) is a healthcare organization registered as a psychiatric/mental health in Saginaw, Michigan and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Saginaw and lists Abraham K Kimeli, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
State Street Behavioral Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to State Street Behavioral Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 State Street Behavioral Services's NPI number?
The NPI number for State Street Behavioral Services is 1265050793. It was assigned to this organization in the NPPES registry on July 10, 2020.
Where is State Street Behavioral Services located?
State Street Behavioral Services is located at 4055 State St, Saginaw, MI 48603. The listed phone number is (989) 270-1749.
What is State Street Behavioral Services's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is State Street Behavioral Services enrolled in Medicare?
Yes. State Street Behavioral Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Street Behavioral Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to State Street Behavioral Services, in Nurse Practitioner and Psychiatry. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does State Street Behavioral Services accept?
Health plans from Blue Care Network of Michigan list State Street Behavioral 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 State Street Behavioral Services was last updated on March 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# State Street Behavioral Services · NPI 1265050793
Psychiatric/Mental Health organization in Saginaw, Michigan. Organization record, active in the CMS NPPES registry since July 10, 2020.
## Identity
- **NPI:** 1265050793 (Entity type: Organization)
- **Enumerated:** July 10, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Abraham Kimeli, OWNER
## Practice location
- **Address:** 4055 STATE ST, Saginaw, MI 48603-4069
- **Phone:** (989) 270-1749
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Psychiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265050793) · Data from the CMS NPPES public registry.