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

Michigan Modern Psychology Group, PLLC

Organization Clinical Psychologist · NPI 1447701255

Michigan Modern Psychology Group, PLLC provides Clinical Psychologist services in Dearborn, Michigan. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

835 Mason St Ste B 220
Dearborn, MI 48124-2231
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

Record details

NPI number1447701255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Manrique — Director · (313) 561-9064
NPI enumeratedOctober 17, 2016
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address835 Mason St, Suite B 220, Dearborn, MI 48124-2231

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