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DR. ANNA PRISCILLA DEMATATIS PH.D.
NPI 1619065026
Psychologist - Clinical in East Lansing, MI

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
4572 S HAGADORN RD STE 2E, EAST LANSING, MI 48823(512) 619-7748(517) 349-3755 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anna Priscilla Dematatis Ph.d. NPPES

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

DR. ANNA PRISCILLA DEMATATIS PH.D. (NPI 1619065026) is an individual clinical provider in East Lansing, Michigan, licensed in Michigan (6301013211) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619065026
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANNA PRISCILLA DEMATATISCredential: PH.D.
Location Address4572 S HAGADORN RD STE 2EEast Lansing, MI 48823-5385
Mailing AddressPo Box 10Mason, MI 48854-0010
Phone(512) 619-7748
Fax(517) 349-3755
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 11, 2006
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1619065026 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 · 6301013211
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.
4572 S HAGADORN RD STE 2E, East Lansing, MI 48823
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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

Dr. Anna Priscilla Dematatis 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 ID547364564
PECOS Enrollment IDI20140529001568
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Anna Dematatis's NPI number?

The NPI number for Anna Dematatis is 1619065026. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Anna Dematatis located?

Anna Dematatis practices at 4572 S Hagadorn Rd Ste 2E, East Lansing, MI 48823. The listed phone number is (512) 619-7748.

What is Anna Dematatis's specialty?

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

Is Anna Dematatis enrolled in Medicare?

Yes. Anna Dematatis 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.

What insurance does Anna Dematatis accept?

Health plans from Priority Health list Anna Dematatis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anna Dematatis was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.