Individual provider Active NPI

Angela Chernyak, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Bloomfield, MI
National Provider Identifier
1568244267
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704195124 Issued in MI
Practice address
2898 W Bloomfield Oaks CT
West Bloomfield, MI 48324-2494
Phone
(248) 736-1327
NPI assigned
Oct 17, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704195124 MI Primary

Addresses

Primary practice location

2898 W Bloomfield Oaks CT
West Bloomfield, MI 48324-2494

Mailing address

2898 W Bloomfield Oaks CT
West Bloomfield, MI 48324-2494

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130003221 MI Practitioner - Nurse Practitioner 5193173144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commerce Psychiatric Services PLCGroup PAC ID 6204923519, 9 clinicians

Practice addresses (Care Compare)

55 N Pond Dr
Suite 6
Walled Lake, MI 48390-3080
Phone (249) 669-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Psychiatric Services PLC CurrentSince Nov 8, 2023 Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Aug 26, 2024 Accepting new patients
Apex Therapy Services, Inc CurrentSince Nov 21, 2023 Accepting new patients

Locations

30200 Telegraph Rd
Ste 207
Bingham Farms, MI 48025
Phone (218) 712-1129

5715 Bella Rosa Blvd
Ste 200
Clarkston, MI 48348
Phone (248) 657-4639

2674 W Jefferson Ave
Ste 206
Trenton, MI 48183

55 N Pond Dr
Ste 6
Walled Lake, MI 48390
Phone (248) 669-1900

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

Interoperability endpoints

  • Direct secure messaging: purepsychiatryofmi.angelachernyak@153418.advancedmd-direct.com

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1568244267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 W BLOOMFIELD OAKS CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 W BLOOMFIELD OAKS CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242494",
            "telephone_number": "248-736-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYAK",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704195124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.