DR. ANN LOUISE DATE (PSY.D.) – Psychologist, NPI 1174746820

DR. ANN LOUISE DATE (PSY.D.) is a healthcare provider. based in Saginaw, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6301009535 (MI). The NPI Number for DR. ANN LOUISE DATE (PSY.D.) is 1174746820

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANN LOUISE DATE (PSY.D.)
NPI
1174746820
Phone
(989) 791-2455
Address
3785 BAY RD
Enumeration Date
11 April 2007
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898322165
Graduation Year
1997 (29 years ago)
PAC ID
5597838607
Group Practice PAC ID
7719050814
Professional Enrollment ID
I20080723000398
Address ID
MI486402769MI720XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. ANN LOUISE DATE (PSY.D.)

  • 3785 BAY RD

    SAGINAW, MI 486032433

    Phone: (989) 791-2455

    Type: Mailing

  • PO BOX 2875

    MIDLAND, MI 486412875

    Phone: (989) 832-2165

    Type: Mailing

  • 720 W WACKERLY ST

    SUITE 4

    MIDLAND, MI 486402769

    Phone: (989) 832-2165

    Fax: (989) 839-4376

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080723000398IClinical PsychologistMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719050814View full group profile
NameSpecialtyState
-MI
Mental Health CounselorMI
-MI
-MI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANN LOUISE DATE (PSY.D.)?
DR. ANN LOUISE DATE (PSY.D.) — NPI 1174746820 — is the standard way to identify this listing.
Can I rely on DR. ANN LOUISE DATE (PSY.D.) being an active provider?
As of the registry snapshot, DR. ANN LOUISE DATE (PSY.D.) is marked active.
What taxonomy line describes DR. ANN LOUISE DATE (PSY.D.)?
For research purposes, treat DR. ANN LOUISE DATE (PSY.D.) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ANN LOUISE DATE (PSY.D.) on a map?
Expect Saginaw, Michigan as a primary anchor for DR. ANN LOUISE DATE (PSY.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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