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Ebony Latrese Bertelsmeyer

Psychologist β€’ Oxford, MI

Active NPI 1003390600 Individual Practitioner Female Practitioner
Practice location in NPPES

1450 S Lapeer Rd
Oxford, MI 483716108

Call 4896999322 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1450 S Lapeer Rd

Oxford, MI 483716108

Telephone 4896999322
Fax 2489690840
Organization at the Same NPPES Address or Phone
Training & Treatment Innovations Inc Facility NPI 1609857978

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oxford and Michigan

6 active clinicians are listed under Psychologist with a practice address in Oxford, MI (2,549 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-14
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Colleen Biafore , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1558788133

Psychiatric-Mental Health Nurse Practitioner

Katie Walker , LMSW

Social Worker - Clinical

NPI 1205276656

Licensed Master Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 14, 2020

Recorded as EBONY BERTELSMEYER

πŸ“
Updated Practice Location December 23, 2019

Registered at 1450 S LAPEER RD, OXFORD, MI 483716108 (Tel: 4896999322)

πŸ“
Updated Business Mailing Address December 23, 2019

Registered at 1450 S LAPEER RD, OXFORD, MI 483716108 (Tel: 2489699932)

βœ…
NPI Profile Active September 19, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 19, 2018

Registered at 2052 S DYE RD, FLINT, MI 485324122 (Tel: 8102308000)

πŸ“
Business Mailing Address (Initial Record) September 19, 2018

Registered at 2052 S DYE RD, FLINT, MI 485324122 (Tel: 8102308000)

πŸ‘€
Provider Name / Credentials (Initial Record) September 19, 2018

Recorded as EBONY BERTELMEYER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2018

Psychologist

🟒
Initial NPI Registration & Enumeration September 19, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003390600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2018
Last Update: January 14, 2020
Sole Proprietor: No

Mailing Address

1450 S Lapeer Rd

Oxford, MI 483716108

Phone: 2489699932

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.