Patchawan Phunwutikorn, PSYD
NPI 1114455706 · Psychologist · Grand Blanc, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patchawan Phunwutikorn, PSYD is a Psychologist provider in Grand Blanc, MI (NPI 1114455706).
Provider details
- NPI number
- 1114455706
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- Yes
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
9 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
97 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) |
|---|---|---|
| Administration of Psychological Or Neuropsychological Test, Each Additional 30 Minutes96137 | 39 | $16 |
| Psychiatric Diagnostic Evaluation90791 | 19 | $143 |
| Psychiatric Diagnostic Evaluation90791 | 13 | $134 |
| Evaluation of Psychological Test, First Hour96130 | 13 | $97 |
| Administration of Psychological Or Neuropsychological Test, First 30 Minutes96136 | 13 | $21 |
Typical Medicare-allowed amounts for these services range $16–$143 (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
Additional practice locations (1)
- 2325 Clement Ave Ste aAlameda, CA 94501-7061Phone: (510) 629-6367
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2022-08-17
- Certified
- 2022-08-17
Frequently asked questions
- What is Patchawan Phunwutikorn's NPI number?
- Patchawan Phunwutikorn's National Provider Identifier (NPI) is 1114455706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patchawan Phunwutikorn's specialty?
- Patchawan Phunwutikorn is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Patchawan Phunwutikorn located?
- Patchawan Phunwutikorn's practice location on file with NPPES is 1 Genesys Pkwy, Grand Blanc, MI 48439-8065.
- What is Patchawan Phunwutikorn's phone number?
- The practice phone number listed in the NPPES registry for Patchawan Phunwutikorn is (810) 606-5126.
- Does Patchawan Phunwutikorn accept Medicare?
- Patchawan Phunwutikorn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Patchawan Phunwutikorn's NPI active?
- Yes — Patchawan Phunwutikorn's NPI (1114455706) is active in the NPPES registry as of the last update on 2022-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.