Active NPI
Angela Dubois, LLP
- Psychologist
- Midland, MI
National Provider Identifier
1396071205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361002143
- Practice address
- 1205 E Wackerly St
Midland, MI 48642-7035 - Phone
- (989) 832-9161
- NPI assigned
- Oct 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361002143 | MI | Primary |
Addresses
Primary practice location
1205 E Wackerly St
Midland, MI 48642-7035
Mailing address
1205 E Wackerly St
Midland, MI 48642-7035
Phone (989) 832-9161
Other names 1
- Angela Lijewski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361002143 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine Associates of Mid Michigan PC | Current | Accepting new patients |
Locations
1205 E Wackerly St
Midland, MI 48642
Phone (989) 832-4000
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.
-
- Clinical Psychologist
- Midland, MI
- NPI 1740370089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1396071205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 E WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427035",
"telephone_number": "989-832-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 E WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427035",
"telephone_number": "989-832-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "ANGELA",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-28",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361002143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "LIJEWSKI",
"credential": "LLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.