MICHIGAN MODERN PSYCHOLOGY GROUP,PLLC
NPI 1447701255
Psychologist - Clinical in Dearborn, MI
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michigan Modern Psychology Group,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Michigan Modern Psychology Group,pllc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Michigan Modern Psychology Group,pllc enrolled in Medicare?
Yes. Michigan Modern Psychology Group,pllc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michigan Modern Psychology Group,pllc?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Michigan Modern Psychology Group,pllc. 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 (6), Mental Health Counselor (4) and Clinical Psychologist (2). Of these, 4 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Michigan Modern Psychology Group,pllc · NPI 1447701255
Clinical organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1447701255 (Entity type: Organization)
- **Enumerated:** October 17, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Manuel Manrique, DIRECTOR
## Practice location
- **Address:** 835 MASON ST, SUITE B 220, Dearborn, MI 48124-2231
- **Phone:** (313) 561-9064 · **Fax:** (313) 563-4480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (6), Mental Health Counselor (4), Clinical Psychologist (2); 4 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447701255) · Data from the CMS NPPES public registry.