Individual provider Active NPI

Dana Hope Demchak, LLP

  • Clinical Psychologist
  • Ypsilanti, MI
National Provider Identifier
1881201788
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6361007660 Issued in MI
Practice address
8968 Somerset LN
Ypsilanti, MI 48198-9567
Phone
(330) 285-8610
NPI assigned
Sep 25, 2020
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6362008870 MI
Clinical Psychologist 103TC0700X 6361007660 MI Primary

Addresses

Primary practice location

8968 Somerset LN
Ypsilanti, MI 48198-9567

Mailing address

8968 Somerset LN
Ypsilanti, MI 48198-9567
Phone (330) 285-8610

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

State licenses

LicenseStateTypeSpecialty
6361007660MIMDClinical Psychologist
6362008870MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Demchak Psychology LLC Clinical CurrentSince Jan 7, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1881201788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8968 SOMERSET LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989567",
            "telephone_number": "330-285-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8968 SOMERSET LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989567",
            "telephone_number": "330-285-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMCHAK",
        "first_name": "DANA",
        "middle_name": "HOPE",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362008870",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361007660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.