Daniel Tetzlaff, PSYD, JD
NPI 1053685487 · Clinical Psychologist · Sault Sainte Marie, MI
Provider details
- NPI number
- 1053685487
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, JD
- Sex
- Male
- Sole proprietor
- No
- License
- 6301015059 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
200 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 122 | $87 |
| Psychiatric Diagnostic Evaluation90791 | 31 | $145 |
| Evaluation of Psychological Test, First Hour96130 | 22 | $106 |
| Administration of Psychological Or Neuropsychological Test, First 30 Minutes96136 | 13 | $22 |
| Evaluation of Psychological Test, Each Additional Hour96131 | 12 | $73 |
Typical Medicare-allowed amounts for these services range $22–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2012-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.