State Street Behavioral Services
NPI 1265050793 · Psychiatric/Mental Health Nurse Practitioner · Saginaw, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State Street Behavioral Services is a Psychiatric/Mental Health Nurse Practitioner organization in Saginaw, MI (NPI 1265050793).
Provider details
- NPI number
- 1265050793
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Abraham Kimeli, Owner(989) 270-1749
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4713 State StSaginaw, MI 48603-3808Phone: (989) 930-8558
Registry dates
- Enumerated
- 2020-07-10
- Last updated
- 2024-03-02
- Certified
- 2024-03-02
Frequently asked questions
- What is State Street Behavioral Services's NPI number?
- State Street Behavioral Services's National Provider Identifier (NPI) is 1265050793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Street Behavioral Services?
- State Street Behavioral Services is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is State Street Behavioral Services located?
- State Street Behavioral Services's practice location on file with NPPES is 4055 State St, Saginaw, MI 48603-4069.
- What is State Street Behavioral Services's phone number?
- The practice phone number listed in the NPPES registry for State Street Behavioral Services is (989) 270-1749.
- Does State Street Behavioral Services accept Medicare?
- State Street Behavioral 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 State Street Behavioral Services?
- The authorized official listed on State Street Behavioral Services's NPPES record is Abraham Kimeli, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Street Behavioral Services's NPI active?
- Yes — State Street Behavioral Services's NPI (1265050793) is active in the NPPES registry as of the last update on 2024-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.