Individual provider Active NPI

Christina Deangelis, LP

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1366867673
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301019878 Issued in MI
Practice address
5340 Plymouth Rd Ste 104
Ann Arbor, MI 48105-9557
Phone
(734) 263-1149
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301019878 MI Primary

Addresses

Primary practice location

5340 Plymouth Rd Ste 104
Ann Arbor, MI 48105-9557

Mailing address

5340 Plymouth Rd Ste 104
Ann Arbor, MI 48105-9557
Phone (734) 263-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301015821MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deangelis Psychology PLLC Psychologist Current Accepting new patients

Locations

2311 Shelby Ave
Ste 105
Ann Arbor, MI 48103
Phone (734) 234-6896

Organizations & group practices 1

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1366867673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD STE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059557",
            "telephone_number": "734-263-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD STE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059557",
            "telephone_number": "734-263-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "CHRISTINA",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301019878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.