Individual provider Active NPI

Kristi Digioia, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1518544550
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018053 Issued in MI
Practice address
2725 Packard St Ste 102
Ann Arbor, MI 48108-3443
Phone
(248) 378-4163
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301018053 MI Primary

Addresses

Primary practice location

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

Mailing address

804 Woodstock LN
Tecumseh, MI 49286-7549
Phone (248) 378-4163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210910002185 MI Practitioner - Clinical Psychologist 0840696175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 S Main St
Suite a Unit 6
Ann Arbor, MI 49286-7549
Phone (248) 378-4163

26862 Woodward Ave
Unit 100
Royal Oak, MI 48067-0958
Phone (248) 378-4163

804 Woodstock LN
Tecumseh, MI 49286-7549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Opened Therapy and Psychological Evaluations PLLC Clinical CurrentSince Mar 9, 2021 Accepting new patients

Locations

2100 S Main St
Ste A
Ann Arbor, MI 48103
Phone (248) 378-4163

2725 Packard St
Ste 102
Ann Arbor, MI 48108
Phone (734) 216-1603

26862 Woodward Ave
Unit 100
Royal Oak, MI 48067
Phone (248) 378-4163

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, 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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1518544550",
    "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": {
        "last_name": "DIGIOIA",
        "first_name": "KRISTI",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.