BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC - NPI 1073647731

Q: What is Burdette And Doss Psychological Services Lc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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About Burdette And Doss Psychological Services Lc NPPES

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

BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC (NPI 1073647731) is a healthcare organization registered as a mental health (including community mental health center) in Southfield, Michigan and active in the NPI registry since March 2007. The organization lists Barbara Ann Elisabeth Tysell, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1073647731

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameBURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC

Location Address17352 W 12 MILE RD, SUITE 100Southfield, MI 48076-2119

Mailing Address17352 W 12 Mile Rd, Suite 100Southfield, MI 48076-2119 · (248) 559-0730 · Fax (248) 569-7626

Phone(248) 559-0730

Fax(248) 569-7626

Organization SubpartNo

Authorized OfficialBarbara Ann Elisabeth TysellAdministrative Director · (248) 559-0730

Enumeration DateMarch 15, 2007

Last NPPES UpdateOctober 28, 2008

✔ NPI 1073647731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in MI · 630534

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 630534 (MI)

17352 W 12 MILE RD, Southfield, MI 48076

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Other Identifiers 28

Other0910921MI · Bcbs Of Michigan

Other0913921MI · Bcbs Provider Id Masters

Medicare PIN0F37268001MI

OtherF037350MI · Web Denis Identifier

Other7509109210MI · Bcbs Nasco Identifier

Other38314498MI · Hap Provider Id

Medicare PIN0F37268013MI

Other187925000MI · Magellan Identifier

Other0912921MI · Bcbs Provider Id Phds

Other7509109210MI · Valueoptions

Other10921MI · Bcbs Managed Care Code

Other125750MI · Value Options Provider Id

Medicare ID-Type UnspecifiedOM30330MI · Edward Roberts Md And Mds

Medicare PIN0F37268015MI

Other26 0 F3 2684 0MI · Nasco Group Tracking Id

Other1316097488MI · Nppesjames A. Cowley Npi

OtherP69427MI · Blue Care Network Pin

Other0911921MI · Bcbs Provider Id Mds

Medicare UPINF43390MI

Medicare PIN0F37268008MI

Other750910921MI · Bcbs Traditional Code

Other630534MI · State Substance Abuse Lic

Other20700MI · Bcbs Sub Ab And Mgd Care

Medicare PIN0F37268014MI

Medicare PIN0F37268MI

Medicare ID-Type Unspecified0M67590MI · James Cowley Lsw Masters

Medicare PIN0F37268011MI

Medicare PIN0F37268012MI

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 13

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

ALLEN RUSSELL ADAMS MSW

Social Worker (Clinical)

17352 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48076

Oakland County (248) 559-0730

JUANITA K DOSS PHD

Psychologist (Clinical)

17352 W 12 MILE RD
SOUTHFIELD, MI 48076

Oakland County (248) 559-0730

MR. ANTHONY J. KING SR. LLPC

Counselor (Professional)

17352 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48076

Oakland County (248) 559-0730

ORCHARD ADULT DAY CARE, LLC

Clinic/Center (Adult Day Care)

17352 W 12 MILE RD, SUITE 210
SOUTHFIELD, MI 48076

Oakland County (248) 254-7874

MR. JAMES ARTHUR COWLEY SR. MSW CSW SAP

Social Worker (Clinical)

17352 W 12 MILE RD, BURDETTE & DOSS CLINIC
SOUTHFIELD, MI 48076

Oakland County (248) 559-0730

TERRY BETHEL TROUP LPC

Counselor (Mental Health)

17352 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48076

Oakland County (248) 559-0730

JULIE ANN WOODWORTH MS LLP

Marriage & Family Therapist

17352 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48076

Oakland County (248) 559-0730

SPECIALTY HOME HEALTH SERVICES, LLC

Home Health

17352 W 12 MILE RD, SUITE 200
SOUTHFIELD, MI 48076

Oakland County (248) 443-0470

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 Burdette And Doss Psychological Services Lc's NPI number?

The NPI number for Burdette And Doss Psychological Services Lc is 1073647731. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Burdette And Doss Psychological Services Lc located?

Burdette And Doss Psychological Services Lc is located at 17352 W 12 Mile Rd Suite 100, Southfield, MI 48076. The listed phone number is (248) 559-0730.

What is Burdette And Doss Psychological Services Lc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Burdette And Doss Psychological Services Lc was last updated on October 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.