Bernadette L. Angeles, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301074466 Issued in MI

Practice address

42450 W 12 Mile Rd
315
Novi, MI 48377-3013

Phone

(248) 513-4100

Fax

(248) 513-4105

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lourdes Bernadette S. Angeles Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bangeles1115195@direct.hfhs.org

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.

• Bernadette Angeles MD, PC

  • Psychiatry Physician
  • Novi, MI
  • NPI 1609219690
  Medicare reassignment NPD Authorized official
• Premier Professional Group LLC

  • Psychiatry Physician
  • Novi, MI
  • NPI 1437547460
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1093747149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD",
            "address_2": "315",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773013",
            "telephone_number": "248-513-4100",
            "fax_number": "248-513-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD",
            "address_2": "315",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773013",
            "telephone_number": "248-513-4100",
            "fax_number": "248-513-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "BERNADETTE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301074466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES BERNADETTE",
            "last_name": "ANGELES",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsi Michelle Andrews, BCBA
• Ashley Andrez
• Corinne Andrus
• Anesthesia Pain Services, PLLC
• Angela Angel
• Melanie Angelito
• Mark D Angelocci, D.D.S.
• Ryan James Angelosanto, PTA
• Isabela Angrisani
• Anjoo C. Ely, DDS, PLLC

• Psychiatry Physician in Novi, MI
• Providers in Novi, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.