Individual provider Active NPI

Angela May Beers, PSYD

  • Clinical Psychologist
  • Niles, MI
National Provider Identifier
1356570238
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016513 Issued in MI
Practice address
423 Sycamore St
Suite 103
Niles, MI 49120-2374
Phone
(269) 351-4082
NPI assigned
Jul 13, 2009
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301014037 MI
Clinical Psychologist 103TC0700X 6301016513 MI Primary

Addresses

Primary practice location

423 Sycamore St
Suite 103
Niles, MI 49120-2374

Mailing address

423 Sycamore St
Suite 103
Niles, MI 49120-2374
Phone (269) 351-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20240214000859 CO Practitioner - Clinical Psychologist 3173967528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301014037MIMDPsychologist
6301016513MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Psychological Services Clinical CurrentSince Feb 7, 2024 Accepting new patients
Mindset Integration Psychological Services Clinical Current Accepting new patients
Colorado Springs Psychological Services Clinical CurrentSince Feb 7, 2024 Accepting new patients

Locations

1115 Elkton Dr
Ste 102
Colorado Springs, CO 80907
Phone (719) 357-6471

6000 E Evans Ave
Ste 350
Denver, CO 80222
Phone (719) 357-6471

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1356570238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SYCAMORE ST",
            "address_2": "SUITE 103",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202374",
            "telephone_number": "269-351-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SYCAMORE ST",
            "address_2": "SUITE 103",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202374",
            "telephone_number": "269-351-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERS",
        "first_name": "ANGELA",
        "middle_name": "MAY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014037",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.