D.A.BRODIE,PH.D.P.C.
NPI 1710209010
Psychologist - Clinical in Detroit, MI
About D.a.brodie,ph.d.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
D.A.BRODIE,PH.D.P.C. (NPI 1710209010) is a healthcare organization registered as a clinical in Detroit, Michigan and active in the NPI registry since February 2010. The organization lists Debra Ann Brodie, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
D.a.brodie,ph.d.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to D.A.Brodie,ph.D.P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 D.A.Brodie,ph.D.P.C.'s NPI number?
The NPI number for D.A.Brodie,ph.D.P.C. is 1710209010. It was assigned to this organization in the NPPES registry on February 27, 2010.
Where is D.A.Brodie,ph.D.P.C. located?
D.A.Brodie,ph.D.P.C. is located at 300 River Place Dr Ste 5350-G, Detroit, MI 48207. The listed phone number is (313) 871-1450.
What is D.A.Brodie,ph.D.P.C.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is D.A.Brodie,ph.D.P.C. enrolled in Medicare?
Yes. D.A.Brodie,ph.D.P.C. is registered in the Medicare PECOS enrollment system.
When is D.A.Brodie,ph.D.P.C.'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 February 28, 2027. 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 D.A.Brodie,ph.D.P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to D.A.Brodie,ph.D.P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does D.A.Brodie,ph.D.P.C. accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list D.A.Brodie,ph.D.P.C. 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 D.A.Brodie,ph.D.P.C. was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# D.a.brodie,ph.d.p.c. · NPI 1710209010
Clinical organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since February 27, 2010.
## Identity
- **NPI:** 1710209010 (Entity type: Organization)
- **Enumerated:** February 27, 2010
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Debra Brodie, PRESIDENT
## Practice location
- **Address:** 300 RIVER PLACE DR STE 5350-G, Detroit, MI 48207-4457
- **Phone:** (313) 871-1450 · **Fax:** (313) 468-1105
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1710209010) · Data from the CMS NPPES public registry.