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

Dr. Manuel Alexander Manrique, PHD, LP

Individual provider Clinical Psychologist · NPI 1588710222

Dr. Manuel Alexander Manrique, PHD, LP is a Clinical Psychologist in Dearborn, Michigan. Qualified in 1994, 32 years ago. Practices with Michigan Modern Psychology Group PLLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

22967 Outer Dr
Dearborn, MI 48124-4248
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 · Licence 6301008353 (MI)

Record details

NPI number1588710222
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Michigan Modern Psychology Group Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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