DERRICK DESHAWN-MARCUS MCCULLOM LPC
NPI 1447020573
Counselor - Mental Health in Westland, MI

Active since January 09, 2024
34290 FORD RD, WESTLAND, MI 48185(313) 445-2695 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Deshawn-marcus Mccullom Lpc NPPES

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

DERRICK DESHAWN-MARCUS MCCULLOM LPC (NPI 1447020573) is an individual mental health provider in Westland, Michigan, licensed in Michigan (6401223703) and active in the NPI registry since January 2024. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447020573
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK DESHAWN-MARCUS MCCULLOMCredential: LPC
Location Address34290 FORD RDWestland, MI 48185-3051
Mailing Address34290 Ford RdWestland, MI 48185-3051 · (313) 445-2695
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1447020573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401223703
34290 FORD RD, Westland, MI 48185

Secondary Practice Locations 2

Location 133520 BirchlawnWestland, MI 48185-8906 · Phone (313) 445-2695
Location 229548 Southfield Rd Ste 100Southfield, MI 48076-2028 · Phone (313) 293-7460

Accepted Insurance

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.

Registered Nurse
34290 FORD RD
WESTLAND, MI 48185
Nurse Practitioner (Psychiatric/Mental Health)
34290 FORD RD
WESTLAND, MI 48185
Nurse Practitioner (Primary Care)
34290 FORD RD
WESTLAND, MI 48185
Registered Nurse
34290 FORD RD
WESTLAND, MI 48185
Nurse Practitioner (Psychiatric/Mental Health)
34290 FORD RD
WESTLAND, MI 48185
Counselor (Mental Health)
34290 FORD RD
WESTLAND, MI 48185
Nurse Practitioner (Psychiatric/Mental Health)
34290 FORD RD
WESTLAND, MI 48185
Counselor (Mental Health)
34290 FORD RD
WESTLAND, MI 48185

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 Derrick Mccullom's NPI number?

The NPI number for Derrick Mccullom is 1447020573. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Derrick Mccullom located?

Derrick Mccullom practices at 34290 Ford Rd, Westland, MI 48185. The listed phone number is (313) 445-2695.

What is Derrick Mccullom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Derrick Mccullom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Derrick Mccullom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derrick Mccullom was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.