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ALIC BERDIN
NPI 1669991501
Rehabilitation Practitioner in Southgate, MI

Active since September 12, 2017
13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 18, 2025, Sep 12, 2017 (2 updates tracked since 2017).

About Alic Berdin NPPES

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

ALIC BERDIN (NPI 1669991501) is an individual rehabilitation practitioner in Southgate, Michigan and active in the NPI registry since September 2017. He maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1669991501
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameALIC BERDIN
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address211 S State College Blvd # 106Anaheim, CA 92806-4116
Phone(734) 785-7700
Sole ProprietorNo
Enumeration DateSeptember 12, 2017
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1669991501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
13101 ALLEN RD, Southgate, MI 48195
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Secondary Practice Location 1

Location 1405 W 5th St # 545Santa Ana, CA 92701-4599 · Phone (714) 834-3747

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.

LORI SUE MITCHELL RN
Registered Nurse
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7731
SHANNON BAYNAI
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MISS RENEE GOLDSBY
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 486-3199
POONAM SHYAM MELWANI
Social Worker
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MR. JAMES GERARD LIVINGSTON LLMSW
Social Worker (Clinical)
13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
VICKIE LYNN NOVELL LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CLAUDETTE JEFFERSON LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
RICKY DAVIS QMHS-B
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

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 Alic Berdin's NPI number?

The NPI number for Alic Berdin is 1669991501. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Alic Berdin located?

Alic Berdin practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Alic Berdin's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Alic Berdin was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.