Michael Charles Anton, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301019304 Issued in MI

Practice address

7800 W Outer Dr Ste 300
Detroit, MI 48235-3458

Phone

(313) 340-4442

NPI assigned

Jun 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, shared by 13 NPIs, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.anton.1@28621.direct.athenahealth.com

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.

• Diana Brda, LLC

  • Psychologist
  • Westland, MI
  • NPI 1760219778

  MI, Psychologist

  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1306616735

  Clinical, MI

  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Troy, MI
  • NPI 1679343008

  Clinical, MI

  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1851161285

  Clinical, MI

  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  • Counseling Psychologist
  • Portage, MI
  • NPI 1922860170

  MI

  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MI
  • NPI 1114784451
  NPD
• Arman C. Moshyedi, MD, PLLC

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1700440203
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1104346402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9919 SHADYSIDE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502715",
            "telephone_number": "734-837-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR STE 300",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353458",
            "telephone_number": "313-340-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1785 W Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481035285",
            "country_code": "US",
            "telephone_number": "734-913-1093",
            "fax_number": "734-369-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 S Main St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701060",
            "country_code": "US",
            "telephone_number": "734-837-8374",
            "fax_number": "734-454-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTON",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008499",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017108",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017108",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019304",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301019304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anthony
• Jevitas Letrice Anthony, SOCIAL WORKER
• Saul Joseph Anthony, LLBSW
• Shannon Antishin, DO
• Zakiya Antoine, D.O.
• Timothy John Antonelli, R.PH.
• Michael Antoniolli, M.D.
• Shelley Antonucci, NURSE PRACTITIONER
• Kunjamma Antony
• Leo H Antrassian, PA-C

• All providers in Detroit, MI
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.