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

Prathima Mistry, PHDLLP

Individual provider Psychologist · NPI 1902021405

Prathima Mistry, PHDLLP is a Psychologist in Troy, Michigan. Licensed in California and Michigan. Registered with an NPI since 2007.

Licensed in
CA, MI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3407
Phone: (248) 646-6659
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301012647 (MI)
Psychologist Taxonomy 103T00000X · Licence 22251 (CA)

Record details

NPI number1902021405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLLP
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address11480 E 13 Mile Rd, Warren, MI 48093-2566

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