Angela K Debastos, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014168 Issued in MI

Practice address

410 W University Dr
#205
Rochester, MI 48307-1938

Phone

(248) 651-9670

Fax

(248) 651-9675

NPI assigned

Jul 13, 2007

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

Merit-based Incentive Payment System (MIPS)

Final score

84.37 of 100Reported as group

Quality

66.73

Promoting interoperability

100

Improvement activities

40

Cost

70.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: adebastos1230801@epic00.shdirect.org

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1972702660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W UNIVERSITY DR",
            "address_2": "#205",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071938",
            "telephone_number": "248-651-9670",
            "fax_number": "248-651-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W UNIVERSITY DR",
            "address_2": "#205",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071938",
            "telephone_number": "248-651-9670",
            "fax_number": "248-651-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736710",
            "country_code": "US",
            "telephone_number": "248-551-3302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBASTOS",
        "first_name": "ANGELA",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014168",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adebastos101707@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3555 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Belmonte, M D PC
• Sherry A Davis, CRNA
• Nina Daws, DDS
• Ddymon Inc. (Dymon Hearing Center)
• Richard Thomas Dean Jr., CRNA
• Michelle Claudette Decker, PT
• Jeffrey H Declaire, M.D.
• Ashley N Decraene, NP-C
• Robert G. Dekker II, M.D.
• Timothy Dekker, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.