Angelia Evangelista

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6362009242 Issued in MI

Practice address

1777 Axtell Dr Ste 100
Troy, MI 48084-4400

Phone

(248) 787-0855

NPI assigned

Nov 3, 2020

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sollars and Associates

  • Psychologist
  • Sterling Heights, MI
  • NPI 1538482187
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1740881044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 MORSE AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674514",
            "telephone_number": "586-552-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844400",
            "telephone_number": "248-787-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38271 Mound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483103403",
            "country_code": "US",
            "telephone_number": "313-473-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "ANGELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6362009242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando M Estupigan, D.O., P.C.
• Leah Jo Ethier, MA, LLPC
• Nicole Claudine Ethier, LPC
• Emma L Eurich
• Kianna Eurick-Bering, MD
• Bruce W Evans, MD
• Diamond Evans, RBT
• Valerie J Evans, MA, LPC
• Evecon Inc (Nutrition 1st)
• Dajae Everette

• Counseling Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.