ANDREA LYNN ANDRZEJCZAK PH.D.
NPI 1568520559
Psychologist in Grosse Pointe, MI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
17850 MAUMEE AVE, SUITE 4, GROSSE POINTE, MI 48230(313) 885-8350(313) 885-8357 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Lynn Andrzejczak Ph.d. NPPES

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

ANDREA LYNN ANDRZEJCZAK PH.D. (NPI 1568520559) is an individual psychologist in Grosse Pointe, Michigan, licensed in Michigan (6301009783) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1568520559
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANDREA LYNN ANDRZEJCZAKCredential: PH.D.
Location Address17850 MAUMEE AVE, SUITE 4Grosse Pointe, MI 48230-1612
Mailing Address20867 Mack Ave, Suite 4Grosse Pointe Woods, MI 48236-1392 · (313) 885-8350 · Fax (313) 885-8357
Fax(313) 885-8357
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 31, 2016
NPI 1568520559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301009783
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301009783 (MI)
17850 MAUMEE AVE, Grosse Pointe, MI 48230

Other Identifiers 1

Medicare ID-Type Unspecified0N25460MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Lynn Andrzejczak Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779548011
PECOS Enrollment IDI20041129000119
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Andrea Andrzejczak's NPI number?

The NPI number for Andrea Andrzejczak is 1568520559. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Andrea Andrzejczak located?

Andrea Andrzejczak practices at 17850 Maumee Ave Suite 4, Grosse Pointe, MI 48230. The listed phone number is (313) 885-8350.

What is Andrea Andrzejczak's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Andrea Andrzejczak enrolled in Medicare?

Yes. Andrea Andrzejczak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrea Andrzejczak was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.