Bernadette Angeles MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301074466 Issued in MI

Legal business name

BERNADETTE ANGELES MD, PC

Practice address

42450 W 12 Mile Rd
Suite 315
Novi, MI 48377-3013

Phone

(248) 513-4100

Fax

(248) 513-4105

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bernadette Lourdes Angeles, MDNPI 1093747149

Title

President

Phone

(313) 595-5215

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.

• Bernadette L. Angeles, M.D.

  • Psychiatry Physician
  • Novi, MI
  • NPI 1093747149
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1609219690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21723 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242368",
            "telephone_number": "313-595-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD",
            "address_2": "SUITE 315",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773013",
            "telephone_number": "248-513-4100",
            "fax_number": "248-513-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE ANGELES MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-595-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301074466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Berkley
• Tracy Berkley
• Melinda Berko
• Dahlia B Berkovitz, PHD, LMSW, LMFT
• Heather Berkshire
• Holly Lynn Berndt-Hilu, AGCNS-BC
• Rima Ali Berro
• Victoria Berroteran
• Ashley Marie Berry
• Cassidy Berry

• Psychiatry Physician in Novi, MI
• Providers in Novi, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.