Mind Opened Therapy and Psychological Evaluations PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MIND OPENED THERAPY AND PSYCHOLOGICAL EVALUATIONS PLLC

Practice address

2725 Packard St Ste 102
Ann Arbor, MI 48108-3443

Phone

(248) 378-4163

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

Kristi DigioiaNPI 1518544550

Title

Owner

Phone

(248) 378-4163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristi Digioia, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1518544550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1316524358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WOODSTOCK LN",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492867549",
            "telephone_number": "248-378-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 PACKARD ST STE 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083443",
            "telephone_number": "248-378-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OPENED THERAPY AND PSYCHOLOGICAL EVALUATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "DIGIOIA",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-378-4163"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Mimms, CSW
• Angel Mims
• Lillian Chiang Min, MD
• Alexa Angelica Minc, MD
• Mind Body Health Consulting PLLC
• Mindful Motion Counseling LLC
• Mindful Path Mental Health Services, LLC
• Mindful Speech Therapy
• Mindmatters LLC
• Daniela Nicola Minecan, MD

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.