DR. LENA THEODOROU-EHRLICH PSY.D.
NPI 1104063577
Psychologist - Clinical in Ann Arbor, MI

Q: What is Lena Theodorou-ehrlich's NPI number?

The NPI number for Lena Theodorou-ehrlich is 1104063577. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Q: What is Lena Theodorou-ehrlich's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Lena Theodorou-ehrlich enrolled in Medicare?

No. Lena Theodorou-ehrlich has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since January 07, 2009Opted out of Medicare · through Apr 1, 2028

555 E WILLIAM ST APT 22C, ANN ARBOR, MI 48104(734) 662-7570(734) 663-6264 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lena Theodorou-ehrlich Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LENA THEODOROU-EHRLICH PSY.D. (NPI 1104063577) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301006437) and active in the NPI registry since January 2009. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104063577

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LENA THEODOROU-EHRLICHCredential: PSY.D.

Location Address555 E WILLIAM ST APT 22CAnn Arbor, MI 48104-2427

Mailing Address555 E William St Apt 22cAnn Arbor, MI 48104-2427 · (734) 662-7570 · Fax (734) 663-6264

Phone(734) 662-7570

Fax(734) 663-6264

Sole ProprietorYes

Enumeration DateJanuary 7, 2009

✔ NPI 1104063577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301006437

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

555 E WILLIAM ST APT 22C, Ann Arbor, MI 48104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lena Theodorou-ehrlich Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lena Theodorou-ehrlich's NPI number?

The NPI number for Lena Theodorou-ehrlich is 1104063577. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Lena Theodorou-ehrlich located?

Lena Theodorou-ehrlich practices at 555 E William St Apt 22C, Ann Arbor, MI 48104. The listed phone number is (734) 662-7570.

What is Lena Theodorou-ehrlich's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lena Theodorou-ehrlich enrolled in Medicare?

No. Lena Theodorou-ehrlich has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lena Theodorou-ehrlich was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.