ELM STREET CLINIC
NPI 1669478921
Clinic/Center - Mental Health (Including Community Mental Health Center) in Birmingham, MI
About Elm Street Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELM STREET CLINIC (NPI 1669478921) is a healthcare organization registered as a mental health (including community mental health center) in Birmingham, Michigan and active in the NPI registry since June 2005. The organization lists Aldona M Valvivonis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
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)
Elm Street Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Elm Street Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Birmingham, MI 48009
Birmingham, MI 48009
Birmingham, MI 48009
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 Personal & Family Adjustment Center PC's NPI number?
The NPI number for Personal & Family Adjustment Center PC is 1669478921. It was assigned to this organization in the NPPES registry on June 22, 2005. The provider is doing business as Elm Street Clinic.
Where is Personal & Family Adjustment Center PC located?
Personal & Family Adjustment Center PC is located at 700 N Old Woodward Ave Ste 300, Birmingham, MI 48009. The listed phone number is (248) 642-8263.
What is Personal & Family Adjustment Center PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Personal & Family Adjustment Center PC enrolled in Medicare?
Yes. Personal & Family Adjustment Center PC is registered in the Medicare PECOS enrollment system.
When is Personal & Family Adjustment Center PC'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 November 30, 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 Personal & Family Adjustment Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Personal & Family Adjustment Center PC. 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 (5) and Psychiatry (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Personal & Family Adjustment Center PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Personal & Family Adjustment Center PC 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 Personal & Family Adjustment Center PC was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Elm Street Clinic · NPI 1669478921
Mental Health (Including Community Mental Health Center) organization in Birmingham, Michigan. Organization record, active in the CMS NPPES registry since June 22, 2005.
## Identity
- **NPI:** 1669478921 (Entity type: Organization)
- **Enumerated:** June 22, 2005
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Personal & Family Adjustment Center Pc
- **Organization subpart:** No
- **Authorized official:** Aldona Valvivonis, PRESIDENT
## Practice location
- **Address:** 700 N OLD WOODWARD AVE, STE 300, Birmingham, MI 48009-1338
- **Phone:** (248) 642-8263 · **Fax:** (248) 642-3862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Psychiatry (1); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2018
- **Other identifiers:** Other 750910718 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1669478921) · Data from the CMS NPPES public registry.