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

Michigan Modern Psychology Group, PLLC

Organization Clinical Psychologist · NPI 1447701255

Michigan Modern Psychology Group, PLLC is a Clinical Psychologist in Dearborn, Michigan. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

835 Mason St Ste B 220
Dearborn, MI 48124-2231
Phone: (313) 561-9064
Fax: (313) 563-4480
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1447701255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Manrique — Director · (313) 561-9064
NPI enumeratedOctober 17, 2016
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address835 Mason St, Suite B 220, Dearborn, MI 48124-2231

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