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

Providence Hospital & Medical Centers

Organization Psychologist · NPI 1962487215

Providence Hospital & Medical Centers is a Psychologist in Southfield, Michigan. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 746-3200
Fax: (248) 746-0384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1962487215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Crowe — Cfo Chief Financial Officer · (248) 849-5707
NPI enumeratedDecember 9, 2005
Last updated in NPPESAugust 22, 2020
Mailing address16001 W 9 Mile Rd, Southfield, MI 48075-4818

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