Individual provider Active NPI

Stephen J Vangel, PHD

  • Psychologist
  • Detroit, MI
National Provider Identifier
1043257967
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301009301 Issued in MI
Practice address
Rehab Institute of Mi
261 Mack - Psychology
Detroit, MI 48201
Phone
(313) 745-9763
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301009301 MI Primary
Clinical Psychologist 103TC0700X 6301009301 MI

Addresses

Primary practice location

Rehab Institute of Mi
261 Mack - Psychology
Detroit, MI 48201

Mailing address

261 Mack Ave
Suite 555
Detroit, MI 48201-2417
Phone (313) 745-9763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060630000105 MI Practitioner - Clinical Psychologist 9436161841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301009301MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Aug 15, 2012 Accepting new patients
Stephen J. Vangel Jr, PH.D., PLLC Clinical CurrentSince Jan 13, 2026 Accepting new patients
Stephen J. Vangel Jr., PH.D. Clinical PastSince Dec 9, 2010 Accepting new patients
Rehabilitation Institute of Michigan Past Accepting new patients
Grace OB GYN PC PastSince Aug 15, 2012 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

261 Mack Ave
Ste 215
Detroit, MI 48201
Phone (313) 966-2539

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

261 Mack Ave
Ste 555
Detroit, MI 48201
Phone (313) 745-9763

42005 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 305-7380

Interoperability endpoints

  • Direct secure messaging: svangel@direct.dmc.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1043257967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "address_2": "SUITE 555",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012417",
            "telephone_number": "313-745-9763",
            "fax_number": "313-745-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REHAB INSTITUTE OF MI",
            "address_2": "261 MACK - PSYCHOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGEL",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009301",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.