Christine Delange PHD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHRISTINE DELANGE PHD PLLC

Practice address

999 Haynes St Ste 235
Birmingham, MI 48009-6702

Phone

(248) 613-0091

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Christine Delange, PHDNPI 1225231160

Title

Solo MBR

Phone

(248) 613-0091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Christine Delange, PH.D.

  • Clinical Psychologist
  • Troy, MI
  • NPI 1225231160
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1497530307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 PEMBROKE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097514",
            "telephone_number": "248-613-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST STE 235",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096702",
            "telephone_number": "248-613-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE DELANGE PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "DELANGE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SOLO MBR",
        "authorized_official_telephone_number": "248-613-0091",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.