THE RECOVERY LAB PLLC
NPI 1821988361
Psychologist - Health in Ann Arbor, MI

Active since July 07, 2025
4860 WASHTENAW AVE STE 508, ANN ARBOR, MI 48108(313) 800-2497 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2026, Jul 7, 2025 (2 updates tracked since 2025).

About The Recovery Lab Pllc NPPES

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

THE RECOVERY LAB PLLC (NPI 1821988361) is a healthcare organization registered as a health in Ann Arbor, Michigan and active in the NPI registry since July 2025. The organization lists Thiera Danyal Clifford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821988361
Entity TypeOrganization
Primary Taxonomy103TH0004X
Legal Business NameTHE RECOVERY LAB PLLC
Location Address4860 WASHTENAW AVE STE 508Ann Arbor, MI 48108-3401
Mailing Address4860 Washtenaw Ave Ste 508Ann Arbor, MI 48108-3401 · (313) 800-2497
Organization SubpartNo
Authorized OfficialThiera Danyal CliffordCeo · (313) 800-2497
Enumeration DateJuly 7, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1821988361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
4860 WASHTENAW AVE STE 508, Ann Arbor, MI 48108

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Recovery Lab Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Recovery Lab PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1285013979
2215 FULLER RD
Ann Arbor, MI 48105
(734) 769-7100
✔ PECOS3.5 mi

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 The Recovery Lab PLLC's NPI number?

The NPI number for The Recovery Lab PLLC is 1821988361. It was assigned to this organization in the NPPES registry on July 7, 2025.

Where is The Recovery Lab PLLC located?

The Recovery Lab PLLC is located at 4860 Washtenaw Ave Ste 508, Ann Arbor, MI 48108. The listed phone number is (313) 800-2497.

What is The Recovery Lab PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is The Recovery Lab PLLC enrolled in Medicare?

Yes. The Recovery Lab PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Recovery Lab PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to The Recovery Lab 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Recovery Lab PLLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.