MICHIGAN BEHAVIORAL MEDICINE NPI 1205134525

NPI Information

  • NPI: 1205134525
  • Provider Name: MICHIGAN BEHAVIORAL MEDICINE
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Address: 2525 CROOKS RD STE 100
    TROY, MI
    ZIP 48084
  • Phone: (248) 731-7305

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NPI Details

MICHIGAN BEHAVIORAL MEDICINE is a social worker in Troy, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MICHIGAN BEHAVIORAL MEDICINE NPI is 1205134525. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2525 CROOKS RD STE 100
TROY, MI
ZIP 48084-733
Phone: (248) 731-7305
Fax: (248) 731-7288

The provider's authorized official is Rene Joseph .
The authorized official title is Administrator and has the following contact phone number (248) 703-1897.

The enumeration date for this NPI number is 3/10/2011 and was last updated on 6/28/2021.

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
1103G00000XClinical NeuropsychologistMICHIGANNo
2103T00000XPsychologistMICHIGANNo
3104100000XSocial WorkerMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11922195999OTHERMICHIGANTYPE 2 NPI

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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