Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henr Y Ford Health System

Organization Clinical Psychologist · NPI 1073040093

Henr Y Ford Health System is a Clinical Psychologist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (MI)

Record details

NPI number1073040093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodie Roberts — Manager · (248) 641-4041
Other names Limited License Psychology; Limited License Psychology
NPI enumeratedMay 22, 2017
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address1 Ford Pl Ste 2e, Detroit, MI 48202-3450

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