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

Individual provider Clinical Psychologist · NPI 1285094789

Michelle Renee Victoria, LPPHD is a Clinical Psychologist in Novi, Michigan. Qualified in 2013, 13 years ago. Practices with Henry Ford Health Eastwood Behavioral Health, a 51-clinician group and accepts Medicare assignment. Licensed in Michigan and New Jersey.

Years since qualifying
13
Licensed in
MI, NJ
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

44000 W 12 Mile Rd Ste 101
Novi, MI 48377-2646
Phone: (248) 226-3001
Fax: (248) 347-6479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301018352 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence SI5583 (NJ)

Record details

NPI number1285094789
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPPHD
Sole proprietorYes
NPI enumeratedFebruary 26, 2016
Last updated in NPPESOctober 9, 2020
Certification dateSeptember 24, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Henry Ford Health Eastwood Behavioral Health — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Novi