Theresa Ann Andare, PH.D. L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018761 Issued in MI

Practice address

18471 Haggerty Rd
Northville, MI 48168-9575

Phone

(248) 735-6719

Fax

(248) 349-8259

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Theresa Ann Delgiudice Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  NPD
• Emca Counseling PC

  • Psychologist
  • Marysville, MI
  • NPI 1639234115
  NPD (past)
• State of Michigan

  • Psychiatric Hospital
  • Westland, MI
  • NPI 1053480905
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1770618068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "248-577-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18471 HAGGERTY RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689575",
            "telephone_number": "248-735-6719",
            "fax_number": "248-349-8259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30503 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480761594",
            "country_code": "US",
            "telephone_number": "248-691-4744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDARE",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D. L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013068",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tandare2983732@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "30503 Greenfield Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480761594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "DELGIUDICE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.A. L.L.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alkhersan PLLC
• Kassia Palumbo Allen, P.T.
• Alpha Psychological Services, P.C.
• Amanda Remer-Chang, DDS, PLLC
• American Anesthesia Associates, LLC
• Erin Leigh Anderson
• Mark Anderson
• Anita Anguelova
• Saad Anjum, MD
• Jayaprakash Annareddy, PHYSICAL THERAPIST

• Clinical Psychologist in Northville, MI
• Providers in Northville, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.