Individual provider Active NPI

Deepa Devan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northville, MI
National Provider Identifier
1245073378
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704324709 Issued in MI
Practice address
50244 Livingston Dr
Northville, MI 48168-6707
Phone
(650) 772-8097
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704324709 MI Primary

Addresses

Primary practice location

50244 Livingston Dr
Northville, MI 48168-6707

Mailing address

50244 Livingston Dr
Northville, MI 48168-6707
Phone (650) 772-8097

Other practice location 1

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500

Other practice location 2

34290 Ford Rd
Westland, MI 48185-3051
Phone (650) 772-8097

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001640 MI Practitioner - Nurse Practitioner 3476093030 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindkraft Solutions LLC CurrentSince Nov 11, 2024 Accepting new patients
Behavioral Care Solutions for Adults and Seniors, Inc. Psychiatric/Mental Health CurrentSince Aug 3, 2024 Accepting new patients
Lifeline Medical Center Psychiatric/Mental Health CurrentSince Jan 23, 2026 Accepting new patients
Team Mental Health Services Inc. Past Accepting new patients

Locations

324 W Main St
Brighton, MI 48116
Phone (810) 227-6218

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

17330 Northland Park Ct
Southfield, MI 48075
Phone (248) 552-9500

35200 Dequindre Rd
Sterling Hts, MI 48310
Phone (248) 689-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1245073378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50244 LIVINGSTON DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686707",
            "telephone_number": "650-772-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50244 LIVINGSTON DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686707",
            "telephone_number": "650-772-8097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9315 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482391260",
            "country_code": "US",
            "telephone_number": "313-450-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34290 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481853051",
            "country_code": "US",
            "telephone_number": "650-772-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVAN",
        "first_name": "DEEPA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704324709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.