Individual provider Active NPI

Angela Pinheiro, MD

  • Psychiatry Physician
  • Mt Pleasant, MI
National Provider Identifier
1114983475
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301050636 Issued in MI
Practice address
301 S. Crapo St.
Ste 100
Mount Pleasant, MI 48858
Phone
(989) 773-5938
NPI assigned
Apr 25, 2006
Last updated
Mar 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301050636 MI Primary

Addresses

Primary practice location

301 S. Crapo St.
Ste 100
Mount Pleasant, MI 48858

Mailing address

301 S Crapo St
Ste 100
Mount Pleasant, MI 48858-2941
Phone (989) 773-5938

Other identifiers 1

IdentifierTypeStateIssuer
102583046MedicaidMI

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000493 MI Practitioner - Psychiatry 0446326136 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301050636MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan Psychiatry CurrentSince Nov 24, 2019 Accepting new patients
Ionia County Community Mental Health Past Accepting new patients

Locations

301 S Crapo St
Ste 100
Mt Pleasant, MI 48858
Phone (989) 772-5938

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1114983475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST",
            "address_2": "STE 100",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-773-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S. CRAPO ST.",
            "address_2": "STE 100",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINHEIRO",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301050636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102583046",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.