Individual provider Active NPI

Devon Elizabeth Battershell, MA, LLP

  • Clinical Psychologist
  • Bloomfield Township, MI
National Provider Identifier
1720001845
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012082 Issued in MI
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

Updated by the provider on Nov 25, 2018

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 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

IdentifierTypeStateIssuer
0911419OtherMIBCBSM MESSA/MAGELLAN
5266701OtherMIAETNA BEHAVIORAL HEALTH
1705289MedicaidMI
028363OtherMIVALUE OPTIONS
130958OtherMICARE CHOICES AND PREFERRE
258694OtherMIMHN PIN
20530OtherMIBCBSM SUBSTANCE ABUSE PIN
7509104190OtherMIBCBSM MENTAL HEALTH PIN
1063603106OtherMIHEALTH 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

LicenseStateTypeSpecialty
6301012082MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Devon Battershell Ma LLP PLLC CurrentSince Sep 13, 2020 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.

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.

Verify at the official NPI Registry.