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MICHIGAN MODERN PSYCHOLOGY GROUP,PLLC
NPI 1447701255
Psychologist - Clinical in Dearborn, MI

Active since October 17, 2016
835 MASON ST, SUITE B 220, DEARBORN, MI 48124(313) 561-9064(313) 563-4480 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan Modern Psychology Group,pllc NPPES

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

MICHIGAN MODERN PSYCHOLOGY GROUP,PLLC (NPI 1447701255) is a healthcare organization registered as a clinical in Dearborn, Michigan and active in the NPI registry since October 2016. The organization lists Manuel A Manrique, Director, as its authorized official.

NPPES Registry Identity

NPI1447701255
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMICHIGAN MODERN PSYCHOLOGY GROUP,PLLC
Location Address835 MASON ST, SUITE B 220Dearborn, MI 48124-2231
Mailing Address835 Mason St, Suite B 220Dearborn, MI 48124-2231 · (313) 561-9064 · Fax (313) 563-4480
Phone(313) 561-9064
Fax(313) 563-4480
Organization SubpartNo
Authorized OfficialManuel A ManriqueDirector · (313) 561-9064
Enumeration DateOctober 17, 2016
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1447701255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
835 MASON ST, Dearborn, MI 48124
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 11

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

ZAHRAA HASSOUN
Social Worker
835 MASON ST
DEARBORN, MI 48124
Wayne County (248) 788-6873
SHANE RANKIN
Psychologist
835 MASON ST
DEARBORN, MI 48124
Wayne County (313) 561-9064
NICOLE ARAPOSTATHIS
Social Worker
835 MASON ST
DEARBORN, MI 48124
Wayne County (734) 728-3400
NUMINA LLC
Clinic/Center
835 MASON ST
DEARBORN, MI 48124
Wayne County (313) 444-9887
MARIAM DAWEETH
Psychologist (Clinical)
835 MASON ST
DEARBORN, MI 48124
Wayne County (313) 561-9064
KALI JEWEL RICKERTSEN MA, DTTLP
Psychologist (Counseling)
835 MASON ST
DEARBORN, MI 48124
Wayne County (313) 561-9064
OTTENBREIT PSYCHOTHERAPY ASSOCIATES, LLC
Social Worker (Clinical)
835 MASON ST, B-200
DEARBORN, MI 48124
Wayne County (313) 575-6297
MS. JORDAN GRANT MA, LLP
Psychologist
835 MASON ST
DEARBORN, MI 48124
Wayne County (313) 561-9064

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 Michigan Modern Psychology Group,pllc's NPI number?

The NPI number for Michigan Modern Psychology Group,pllc is 1447701255. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is Michigan Modern Psychology Group,pllc located?

Michigan Modern Psychology Group,pllc is located at 835 Mason St Suite B 220, Dearborn, MI 48124. The listed phone number is (313) 561-9064.

What is Michigan Modern Psychology Group,pllc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Michigan Modern Psychology Group,pllc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Modern Psychology Group,pllc 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 Michigan Modern Psychology Group,pllc was last updated on May 29, 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.