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

The Behavioral Medicine Clinic of Northwest Michigan, PLC

Organization Developmental - Behavioral Pediatrics Physician · NPI 1336353473

The Behavioral Medicine Clinic of Northwest Michigan, PLC is a Developmental - Behavioral Pediatrics Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

745 S Garfield Ave Ste C
Traverse City, MI 49686-3479
Phone: (231) 932-1250
Fax: (231) 932-1266
Show map & directions

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

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 4301062201 (MI)

Record details

NPI number1336353473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Dickson — Owner · (231) 932-1250
NPI enumeratedMay 9, 2007
Last updated in NPPESJune 30, 2008
Mailing address745 S Garfield Ave, Suite C, Traverse City, MI 49686-3479

Other providers in Traverse City