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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIGHTHOUSE PEDIATRIC THERAPY
NPI 1083365639
Pediatrics - Developmental - Behavioral Pediatrics in Warren, MI

Active since January 14, 2022
11174 E 13 MILE RD, WARREN, MI 48093(313) 285-3978 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lighthouse Pediatric Therapy NPPES

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

LIGHTHOUSE PEDIATRIC THERAPY (NPI 1083365639) is a healthcare organization registered as a developmental - behavioral pediatrics in Warren, Michigan and active in the NPI registry since January 2022. The organization lists Allyson Doll Andrews, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083365639
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameLIGHTHOUSE PEDIATRIC THERAPY
Location Address11174 E 13 MILE RDWarren, MI 48093-2559
Mailing Address11174 E 13 Mile RdWarren, MI 48093-2559 · (313) 285-3978
Phone(313) 285-3978
Organization SubpartNo
Authorized OfficialAllyson Doll AndrewsCeo · (313) 285-3978
Enumeration DateJanuary 14, 2022
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1083365639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
11174 E 13 MILE RD, Warren, MI 48093
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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

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

LIGHTHOUSE PEDIATRIC THERAPY
Home Health
11174 E 13 MILE RD
WARREN, MI 48093
Macomb County (313) 444-5038

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 Lighthouse Pediatric Therapy's NPI number?

The NPI number for Lighthouse Pediatric Therapy is 1083365639. It was assigned to this organization in the NPPES registry on January 14, 2022.

Where is Lighthouse Pediatric Therapy located?

Lighthouse Pediatric Therapy is located at 11174 E 13 Mile Rd, Warren, MI 48093. The listed phone number is (313) 285-3978.

What is Lighthouse Pediatric Therapy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Lighthouse Pediatric Therapy was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.