DR. DEVIN R SOUTH (PSYD, LP) – Clinical Psychologist, NPI 1073742797
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
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Provider Addresses for DR. DEVIN R SOUTH (PSYD, LP)
1501, Krafft Road, Port Huron, Fort Gratiot Township, Saint Clair County, Michigan, 48060, United States
FORT GRATIOT, MI 480593565
Phone: (810) 985-5125
Fax: (810) 985-5127
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091123000280 | I | Clinical Psychologist | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 135 | 23 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 75 | 75 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 31 | 27 | $0 |
| 96130 | Evaluation of psychological test, first hour | 30 | 30 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 48059)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ME | |
| Nurse Practitioner | MI | |
| Physical Therapist In Private Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Neurology, Pain Management, Psychiatry | MI | |
| Diagnostic Radiology | AZ |
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