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STATE STREET BEHAVIORAL SERVICES
NPI 1265050793
Nurse Practitioner - Psychiatric/Mental Health in Saginaw, MI

Active since July 10, 2020
4055 STATE ST, SAGINAW, MI 48603(989) 270-1749 Get Directions Write a Review

NPPES record last updated: March 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2022, Jan 17, 2022, Sep 24, 2020 and 1 more (4 updates tracked since 2020).

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

NPI1265050793
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSTATE STREET BEHAVIORAL SERVICES
Location Address4055 STATE STSaginaw, MI 48603-4069
Mailing Address4055 State StSaginaw, MI 48603-4069 · (989) 270-1749
Phone(989) 270-1749
Organization SubpartNo
Authorized OfficialAbraham K KimeliOwner · (989) 270-1749
Enumeration DateJuly 10, 2020
Last NPPES UpdateMarch 2, 20244 updates tracked since enumeration
NPPES CertifiedMarch 2, 2024
✔ NPI 1265050793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4055 STATE ST, Saginaw, MI 48603
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Secondary Practice Location 1

Location 14713 State StSaginaw, MI 48603-3808 · Phone (989) 930-8558

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

ABRAHAM KIPKOGEI KIMELI NP
Nurse Practitioner (Psychiatric/Mental Health)
4055 STATE ST
SAGINAW, MI 48603
Saginaw County (989) 930-8558
GLADYS KIMELI NP
Nurse Practitioner (Psychiatric/Mental Health)
4055 STATE ST
SAGINAW, MI 48603
Saginaw County (989) 270-1749

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.

What insurance does State Street Behavioral Services accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and 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 with the weekly NPPES data releases published by CMS.