TEAM WELLNESS CENTER
NPI 1295324291
Clinic/Center - Primary Care in Detroit, MI
About Team Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEAM WELLNESS CENTER (NPI 1295324291) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through May 14, 2028, maintains 2 additional practice locations, and lists Antonio Pollicella, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Team Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
116Medicare enrollment records show 116 clinicians reassign Medicare billing to Team Wellness Center, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 116Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2040951
Team Mental Health Services · Southgate, MIFrequently 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 Team Mental Health Services Inc.'s NPI number?
The NPI number for Team Mental Health Services Inc. is 1295324291. It was assigned to this organization in the NPPES registry on January 13, 2021. The provider is doing business as Team Wellness Center.
Where is Team Mental Health Services Inc. located?
Team Mental Health Services Inc. is located at 3646 Mount Elliott St, Detroit, MI 48207. The listed phone number is (313) 626-2400.
What is Team Mental Health Services Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Team Mental Health Services Inc. enrolled in Medicare?
Yes. Team Mental Health Services Inc. is registered in the Medicare PECOS enrollment system.
When is Team Mental Health Services Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Team Mental Health Services Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 6 Medicare specialties reassign their Medicare billing to Team Mental Health Services Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (46), Nurse Practitioner (38) and Mental Health Counselor (19). Of these, 11 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Team Mental Health Services Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2040951) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Team Mental Health Services Inc. was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Team Wellness Center · NPI 1295324291
Primary Care organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since January 13, 2021.
## Identity
- **NPI:** 1295324291 (Entity type: Organization)
- **Enumerated:** January 13, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Team Mental Health Services Inc.
- **Organization subpart:** No
- **Authorized official:** Antonio Pollicella, CEO
## Practice location
- **Address:** 3646 MOUNT ELLIOTT ST, Detroit, MI 48207-2311
- **Phone:** (313) 626-2400 · **Fax:** (313) 921-4125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 116 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (46), Nurse Practitioner (38), Mental Health Counselor (19); 11 practice at this address and 57 within 10 miles; [full list](https://npiprofile.com/npi/1295324291/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295324291) · Data from the CMS NPPES public registry.