ANGELICA DETOMASO – NPI #1912674854
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

ANGELICA DETOMASO is a peer specialist located in RICHMOND, MI. NPPES has assigned the NPI number 1912674854 to ANGELICA DETOMASO on August 27, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for ANGELICA DETOMASO below.

NPI Profile for
ANGELICA DETOMASO

NPI Number
1912674854
Enumeration Date

(about 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANGELICA DETOMASO
Primary location
400 STODDARD RD
RICHMOND, MI 48062-2505
Phone: (810) 392-2137 Fax:
Mailing address
25156 HAYES RD
ROSEVILLE, MI 48066-3646
Phone: (586) 222-7481 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.