THOMAS BOTTENFIELD (PHD) – Clinical Psychologist, NPI 1558764670

THOMAS BOTTENFIELD (PHD) is a healthcare provider. based in Bingham farms, Michigan. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 6301007898 (MI). The NPI Number for THOMAS BOTTENFIELD (PHD) is 1558764670

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS BOTTENFIELD (PHD)
NPI
1558764670
Phone
(248) 712-1129
Address
30200 TELEGRAPH RD
Enumeration Date
2 October 2014
Last Update Date
2 October 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2487121129
Graduation Year
1998 (28 years ago)
PAC ID
1759503329
Group Practice PAC ID
1951526029
Professional Enrollment ID
I20200227000902
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for THOMAS BOTTENFIELD (PHD)

  • 30200 TELEGRAPH RD

    SUITE 207

    BINGHAM FARMS, MI 480254502

    Phone: (248) 712-1129

    Fax: (248) 569-9410

    Type: Mailing

  • 19875 BUTTERNUT LN

    SOUTHFIELD, MI 480761795

    Phone: (248) 568-3711

    Fax: (248) 569-9410

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951526029View full group profile
NameSpecialtyState
Clinical PsychologistMI
-MI
Nurse PractitionerMI

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Frequently asked questions

Can I cross-check THOMAS BOTTENFIELD (PHD) using NPI 1558764670?
NPI 1558764670 belongs to THOMAS BOTTENFIELD (PHD); compare other details if you need extra assurance.
Is there an active status for THOMAS BOTTENFIELD (PHD)?
For scheduling context, THOMAS BOTTENFIELD (PHD) is shown as active in the registry.
What kind of doctor is THOMAS BOTTENFIELD (PHD)?
THOMAS BOTTENFIELD (PHD) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with THOMAS BOTTENFIELD (PHD)?
Directory geography for THOMAS BOTTENFIELD (PHD) centers on Bingham Farms, Michigan.
Can I trust this NPI listing for THOMAS BOTTENFIELD (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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