Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Henr Y Ford Health System

Organization Clinical Psychologist · NPI 1073040093

Henr Y Ford Health System provides Clinical Psychologist services in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (MI)

Record details

NPI number1073040093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodie Roberts — Manager · (248) 641-4041
Other names Limited License Psychology; Limited License Psychology
NPI enumeratedMay 22, 2017
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address1 Ford Pl Ste 2e, Detroit, MI 48202-3450

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