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TEAM MENTAL HEALTH SERVICES, INC
NPI 1851796734
Clinic/Center - Primary Care in Detroit, MI

Active since November 04, 2014CLIA Certified · 2 labs
2925 RUSSELL ST, DETROIT, MI 48207(313) 396-5300(313) 274-4900 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Team Mental Health Services, Inc NPPES

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

TEAM MENTAL HEALTH SERVICES, INC (NPI 1851796734) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since November 2014. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Antonio Pollicella, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851796734
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTEAM MENTAL HEALTH SERVICES, INC
Location Address2925 RUSSELL STDetroit, MI 48207-4825
Mailing Address290 Town Center DrDearborn, MI 48126-2739 · (313) 274-3700 · Fax (313) 274-4900
Phone(313) 396-5300
Fax(313) 274-4900
Organization SubpartNo
Authorized OfficialAntonio PollicellaCeo · (313) 274-3700
Enumeration DateNovember 4, 2014
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1851796734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2925 RUSSELL ST, Detroit, MI 48207
Open in Google Maps ↗

Secondary Practice Locations 4

Location 114799 Dix Toledo RdSouthgate, MI 48195-2507 · Phone (734) 324-8326 · Fax (313) 274-4900
Location 234290 Ford RdWestland, MI 48185-3051 · Phone (734) 412-8800 · Fax (313) 274-4900
Location 311105 E Jefferson AveDetroit, MI 48214-3317 · Phone (313) 396-5300 · Fax (313) 274-4900
Location 46309 Mack AveDetroit, MI 48207-2302 · Phone (313) 331-3435 · Fax (313) 274-4900

Other Identifiers 1

Medicaid4695337MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2040953

Team Mental Health Services · Detroit, MI
Active · expires May 14, 2028
CLIA Number23D2040953
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorPamela Lamb
Laboratory Phone(313) 396-5300
Laboratory LocationTeam Mental Health Services2925 Russell Street, Detroit, MI 48207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2228642

Team Mental Health Services Inc · Westland, MI
Active · expires Jun 28, 2027
CLIA Number23D2228642
Laboratory TypeHome Health Agency
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorPamela Lamb
Laboratory Phone(313) 396-5300
Laboratory LocationTeam Mental Health Services Inc34290 Ford Road, Westland, MI 48186
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MARCIA M WICKER RN
Registered Nurse
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
SAMARA JOHNSON
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (888) 813-8326
MS. CATHY LYNN EUSEARY CARE COORDINATOR
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
CAMILLA YAVETTE WILLIAMS MSW
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
BRIDGET MYKE CTRS
Recreation Therapist
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
AUSTIN DAVID URLAUB LLMSW, DP-C
Social Worker
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
SANDRA FAYE DEH
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
MRS. TONI RENEE BUNTON MSW
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 389-3963

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 Team Mental Health Services, Inc's NPI number?

The NPI number for Team Mental Health Services, Inc is 1851796734. It was assigned to this organization in the NPPES registry on November 4, 2014.

Where is Team Mental Health Services, Inc located?

Team Mental Health Services, Inc is located at 2925 Russell St, Detroit, MI 48207. The listed phone number is (313) 396-5300.

What is Team Mental Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Team Mental Health Services, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Team Mental Health Services, Inc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Team Mental Health Services, Inc 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 Team Mental Health Services, Inc was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.