Active NPI
Dana Hope Demchak, LLP
- Clinical Psychologist
- Ypsilanti, MI
National Provider Identifier
1881201788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6361007660
- Practice address
- 8968 Somerset LN
Ypsilanti, MI 48198-9567 - Phone
- (330) 285-8610
- NPI assigned
- Sep 25, 2020
- Last updated
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007660 | MI | MD | Clinical Psychologist |
| 6362008870 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana Demchak Psychology LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Ypsilanti, MI
- NPI 1487424206
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.