Angela Michelle Stathopoulos, C.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704235236 Issued in MI

Practice address

1410 Turner St
Lansing, MI 48906-4344

Phone

(517) 303-8044

NPI assigned

Sep 29, 2008

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Angela Michelle Stimac 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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Brain Bliss Management Company LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Lansing, MI
  • NPI 1861234098

  Psychiatric/Mental Health, Adult

  NPD

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1306096193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TURNER ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489064344",
            "telephone_number": "517-303-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHOPOULOS",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704235236",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704235236",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704235236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "STIMAC",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "APRN,BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Starling Psychotherapy Services, LLC
• Barbara L Starling, CSW
• Lisa Starr
• Jonathan Startin, MD
• State of Michigan (Bureau of Services for Blind Persons)
• Pamela Elizabeth Stave, PA-C
• Jonathon Pawel Stecevic
• Annie Steel
• Darryl Steele, LPC
• Derek Steele

• Psychiatric/Mental Health Nurse Practitioner in Lansing, MI
• Providers in Lansing, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.