Individual provider Active NPI

Christi Bemister, PSYCHOLOGIST

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1821248154
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013974 Issued in MI
Practice address
117 N 1St St Ste 106
Ann Arbor, MI 48104-1354
Phone
(734) 834-4429
Fax
(734) 786-2257
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013974 MI Primary

Addresses

Primary practice location

117 N 1St St Ste 106
Ann Arbor, MI 48104-1354

Mailing address

87 Prince Place Dr
Fuquay Varina, NC 27526-4015
Phone (734) 222-6046

Other identifiers 1

IdentifierTypeStateIssuer
593776870OtherMITAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000798 MI Practitioner - Clinical Psychologist 6901966340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 N 1St St
Suite 106
Ann Arbor, MI 48104-1354
Phone (734) 834-4429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301013974MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christi Bemister, PSYD, PLLC CurrentSince Nov 23, 2018 Accepting new patients
Ross Halpern Psychologist Past Accepting new patients
Healing Hands Therapy LTD PastSince Aug 13, 2018 Accepting new patients

Locations

117 N 1st St
Ste 106
Ann Arbor, MI 48104
Phone (734) 210-0933

117 N 1st St
Ste 103
Ann Arbor, MI 48104
Phone (734) 649-4623

Organizations & group practices 3

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1821248154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 PRINCE PLACE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264015",
            "telephone_number": "734-222-6046",
            "fax_number": "734-786-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST STE 106",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041354",
            "telephone_number": "734-834-4429",
            "fax_number": "734-786-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMISTER",
        "first_name": "CHRISTI",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593776870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.