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

The Behavioral Medicine Clinic of Northwest Michigan, PLC

Organization Developmental - Behavioral Pediatrics Physician · NPI 1336353473

The Behavioral Medicine Clinic of Northwest Michigan, PLC provides Developmental - Behavioral Pediatrics Physician services in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

745 S Garfield Ave Ste C
Traverse City, MI 49686-3479 Not confirmed with CMS for 18 years — call before visiting
Phone: (231) 932-1250
Fax: (231) 932-1266
Show map & directions

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

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 4301062201 (MI)

Record details

NPI number1336353473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Dickson — Owner · (231) 932-1250
NPI enumeratedMay 9, 2007
Last updated in NPPESJune 30, 2008
Mailing address745 S Garfield Ave, Suite C, Traverse City, MI 49686-3479

Other providers in Traverse City