PEDIATRIC SPECIALTY GROUP
NPI 1821049990
Pediatrics - Neurodevelopmental Disabilities in Clinton Township, MI

Active since May 13, 2006
43900 GARFIELD RD, STE. 201, CLINTON TOWNSHIP, MI 48038(586) 412-5110(586) 412-5116 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Specialty Group NPPES

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

PEDIATRIC SPECIALTY GROUP (NPI 1821049990) is a healthcare organization registered as a neurodevelopmental disabilities in Clinton Township, Michigan and active in the NPI registry since May 2006. The organization lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821049990
Entity TypeOrganization
Primary Taxonomy2080P0008X
Legal Business NameMCLAREN MACOMB
Location Address43900 GARFIELD RD, STE. 201Clinton Township, MI 48038
Mailing Address43900 Garfield Rd, Ste. 201Clinton Township, MI 48038-1128 · (586) 412-5110 · Fax (586) 412-5116
Fax(586) 412-5116
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMay 13, 2006
Last NPPES UpdateMay 23, 2018
NPI 1821049990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
43900 GARFIELD RD, Clinton Township, MI 48038

Other Names 1

Doing Business AsPediatric Specialty Group

Other Identifiers 4

Medicaid4168314MI
Medicaid3298762MI
Medicaid3518937MI
Medicaid3298780MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Dermatology (Dermatopathology)
43900 GARFIELD RD, SUITE 100
CLINTON TOWNSHIP, MI 48038
Radiology (Diagnostic Radiology)
43900 GARFIELD RD, SUITE 202
CLINTON TOWNSHIP, MI 48038
Counselor (Mental Health)
43900 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Social Worker
43900 GARFIELD RD, SUITE 222
CLINTON TOWNSHIP, MI 48038
Family Medicine
43900 GARFIELD RD, STE 121
CLINTON TWP, MI 48038
Dermatology
43900 GARFIELD RD, STE 100
CLINTON TOWNSHIP, MI 48038
Pediatrics
43900 GARFIELD RD, STE. 205
CLINTON TOWNSHIP, MI 48038
Dermatology
43900 GARFIELD RD, STE 100
CLINTON TOWNSHIP, MI 48038

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 Mclaren Macomb's NPI number?

The NPI number for Mclaren Macomb is 1821049990. It was assigned to this organization in the NPPES registry on May 13, 2006. The provider is doing business as Pediatric Specialty Group.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 43900 Garfield Rd Ste. 201, Clinton Township, MI 48038. The listed phone number is (586) 412-5110.

What is Mclaren Macomb's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

When was this NPI record last updated?

The NPPES record for Mclaren Macomb was last updated on May 23, 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.