Active NPI
Devon Elizabeth Battershell, MA, LLP
- Clinical Psychologist
- Bloomfield Township, MI
National Provider Identifier
1720001845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012082
- Practice address
- 4111 Andover Rd Ste 150-W
Bloomfield Township, MI 48302-1909 - Phone
- (248) 635-6637
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012082 | MI | Primary |
Addresses
Primary practice location
4111 Andover Rd Ste 150-W
Bloomfield Township, MI 48302-1909
Mailing address
9557 Trace Hollow CT
Commerce TWP, MI 48382-3672
Phone (248) 635-6637
Other practice location 1
43996 Woodward Ave
Ste. 101
Bloomfield, MI 48302-5027
Phone (248) 338-2988
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0911419 | Other | MI | BCBSM MESSA/MAGELLAN |
| 5266701 | Other | MI | AETNA BEHAVIORAL HEALTH |
| 1705289 | Medicaid | MI | |
| 028363 | Other | MI | VALUE OPTIONS |
| 130958 | Other | MI | CARE CHOICES AND PREFERRE |
| 258694 | Other | MI | MHN PIN |
| 20530 | Other | MI | BCBSM SUBSTANCE ABUSE PIN |
| 7509104190 | Other | MI | BCBSM MENTAL HEALTH PIN |
| 1063603106 | Other | MI | HEALTH PLUS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012082 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devon Battershell Ma LLP PLLC | Current | Accepting new patients | |
| Bart Anthony PC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomfield Hills, MI
- NPI 1487268538
-
- Clinical Psychologist
- Bloomfield Hills, MI
- NPI 1174511372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543104000000",
"number": "1720001845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9557 TRACE HOLLOW CT",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483823672",
"telephone_number": "248-635-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 ANDOVER RD STE 150-W",
"city": "BLOOMFIELD TOWNSHIP",
"state": "MI",
"postal_code": "483021909",
"telephone_number": "248-635-6637"
}
],
"practiceLocations": [
{
"address_1": "43996 Woodward Ave",
"address_2": "Ste. 101",
"address_purpose": "LOCATION",
"city": "Bloomfield",
"state": "MI",
"postal_code": "483025027",
"country_code": "US",
"telephone_number": "248-338-2988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATTERSHELL",
"first_name": "DEVON",
"middle_name": "ELIZABETH",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2018-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM MESSA/MAGELLAN",
"identifier": "0911419",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "5266701",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1705289",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "028363",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES AND PREFERRE",
"identifier": "130958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PIN",
"identifier": "258694",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM SUBSTANCE ABUSE PIN",
"identifier": "20530",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM MENTAL HEALTH PIN",
"identifier": "7509104190",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS PIN",
"identifier": "1063603106",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.