Oakland Psychological Clinic of Michigan – Clinical Psychologist, NPI 1851161285
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Oakland Psychological Clinic of Michigan
11000 OPTUM CIR
EDEN PRAIRIE, MN 553442503
Phone: (248) 322-0001
Type: Mailing
2550 S TELEGRAPH RD STE 250
BLOOMFIELD HILLS, MI 483020909
Phone: (248) 322-0001
Type: Location
14165 N Fenton Rd Ste 201
Fenton, MI 484301186
Phone: (248) 322-0001
Type: Location
1455 S Lapeer Rd Ste 175
Lake Orion, MI 483601467
Phone: (248) 322-0001
Type: Location
33300 Five Mile Rd Ste 208
Livonia, MI 481543077
Phone: (734) 522-0280
Type: Location
1800 N Milford Rd Ste 100
Milford, MI 483811047
Phone: (248) 684-6400
Type: Location
17352 W 12 Mile Rd Ste 100
Southfield, MI 480766311
Phone: (248) 559-5558
Type: Location
10785 S Saginaw St Ste A
Grand Blanc, MI 484397003
Phone: (248) 322-0001
Type: Location
16664 15 Mile Rd
Fraser, MI 480263713
Phone: (586) 294-3030
Type: Location
2222 S Linden Rd Ste J
Flint, MI 485325413
Phone: (810) 732-0560
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20240423001699 | O | Clinic/Group Practice | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55344)
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