Old Town Psychological Services
NPI 1093989162 · Clinical Psychologist · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Town Psychological Services is a Clinical Psychologist organization in Traverse City, MI (NPI 1093989162).
Provider details
- NPI number
- 1093989162
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michael Hayes, Clinical Director(231) 941-6550
- License
- 6301008748 (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 tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2010-05-06
Frequently asked questions
- What is Old Town Psychological Services's NPI number?
- Old Town Psychological Services's National Provider Identifier (NPI) is 1093989162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Psychological Services?
- Old Town Psychological Services is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Old Town Psychological Services located?
- Old Town Psychological Services's practice location on file with NPPES is 512 S Union St, Traverse City, MI 49684-3247.
- What is Old Town Psychological Services's phone number?
- The practice phone number listed in the NPPES registry for Old Town Psychological Services is (231) 941-6550.
- Does Old Town Psychological Services accept Medicare?
- Old Town Psychological Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Old Town Psychological Services?
- The authorized official listed on Old Town Psychological Services's NPPES record is Michael Hayes, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Psychological Services's NPI active?
- Yes — Old Town Psychological Services's NPI (1093989162) is active in the NPPES registry as of the last update on 2010-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.