MENTIS BEHAVIORAL HEALTH NPI 1003639881

NPI Information

  • NPI: 1003639881
  • Provider Name: MENTIS BEHAVIORAL HEALTH
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Organization
  • Address: 1251 S LAPEER RD STE 203
    LAKE ORION, MI
    ZIP 48360
  • Phone: (248) 690-9181

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NPI Details

MENTIS BEHAVIORAL HEALTH is a prescribing (medical) psychologist in Lake Orion, MI. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MENTIS BEHAVIORAL HEALTH NPI is 1003639881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1251 S LAPEER RD STE 203
LAKE ORION, MI
ZIP 48360-416
Phone: (248) 690-9181
Fax: (248) 690-9675

The provider's authorized official is Joseph L Gorz .
The authorized official title is Owner / Physician and has the following contact phone number (248) 690-9181.

The enumeration date for this NPI number is 11/1/2024 and was last updated on 11/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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