LIMITED LICENSE PSYCHOLOGY
NPI 1073040093
Psychologist - Clinical in Detroit, MI

Q: What is Henr Y Ford Health System's NPI number?

The NPI number for Henr Y Ford Health System is 1073040093. It was assigned to this organization in the NPPES registry on May 22, 2017. The provider is also known as Limited License Psychology.

Q: What is Henr Y Ford Health System's specialty?

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

Active since May 22, 2017

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 23, 2024, May 22, 2017 (2 updates tracked since 2017).

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About Limited License Psychology NPPES

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

LIMITED LICENSE PSYCHOLOGY (NPI 1073040093) is a healthcare organization registered as a clinical in Detroit, Michigan and active in the NPI registry since May 2017. The organization lists Jodie Roberts, Manager, as its authorized official.

NPPES Registry Identity

NPI1073040093

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameHENR Y FORD HEALTH SYSTEM

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 2eDetroit, MI 48202-3450 · (313) 874-4316

Phone(313) 916-2600

Organization SubpartNo

Authorized OfficialJodie RobertsManager · (248) 641-4041

Enumeration DateMay 22, 2017

Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1073040093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

2799 W GRAND BLVD, Detroit, MI 48202

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Other Names 1

Other NameLimited License Psychology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital