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THE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN, PLC
NPI 1336353473
Pediatrics - Developmental - Behavioral Pediatrics in Traverse City, MI

Active since May 09, 2007
745 S GARFIELD AVE, SUITE C, TRAVERSE CITY, MI 49686(231) 932-1250(231) 932-1266 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Behavioral Medicine Clinic Of Northwest Michigan, Plc NPPES

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

THE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN, PLC (NPI 1336353473) is a healthcare organization registered as a developmental - behavioral pediatrics in Traverse City, Michigan and active in the NPI registry since May 2007. The organization lists Terry Marc Dickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1336353473
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameTHE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN, PLC
Location Address745 S GARFIELD AVE, SUITE CTraverse City, MI 49686-3479
Mailing Address745 S Garfield Ave, Suite CTraverse City, MI 49686-3479 · (231) 932-1250 · Fax (231) 932-1266
Phone(231) 932-1250
Fax(231) 932-1266
Organization SubpartNo
Authorized OfficialTerry Marc DicksonOwner · (231) 932-1250
Enumeration DateMay 9, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1336353473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in MI · 4301062201
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.
745 S GARFIELD AVE, Traverse City, MI 49686
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Other Identifiers 2

Medicaid104467082MI
Other0280237MI · Blue Cross Blue Shield Mi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MS. JANET MARGARET MORENCY M.A.
Audiologist
745 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-5640
THE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN, P.C.
Clinic/Center (Medical Specialty)
745 S GARFIELD AVE, SUITE C
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 932-1250
DR. TERRY MARC DICKSON M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
745 S GARFIELD AVE, SUITE C
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 932-1250

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 The Behavioral Medicine Clinic Of Northwest Michigan, Plc's NPI number?

The NPI number for The Behavioral Medicine Clinic Of Northwest Michigan, Plc is 1336353473. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is The Behavioral Medicine Clinic Of Northwest Michigan, Plc located?

The Behavioral Medicine Clinic Of Northwest Michigan, Plc is located at 745 S Garfield Ave Suite C, Traverse City, MI 49686. The listed phone number is (231) 932-1250.

What is The Behavioral Medicine Clinic Of Northwest Michigan, Plc'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 The Behavioral Medicine Clinic Of Northwest Michigan, Plc was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.