Palina Drake

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014919 Issued in MI

Practice address

21650 W 11 Mile Rd Ste 107
Southfield, MI 48076-3715

Phone

(248) 262-7396

NPI assigned

Feb 15, 2017

Last updated

May 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stellar Pointe Counseling & Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1992262505
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1063951671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD STE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763715",
            "telephone_number": "248-262-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD STE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763715",
            "telephone_number": "248-262-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "PALINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017663",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. S.Rao Talla
• Dr. Tameka Parham Taylor, PLLC
• Abby Drabicki
• Joseph Drabik
• James Dragonette, MD
• Tracy A Drake, PAC
• Alyssa M Draper
• Brenee Draper
• Emily J Draper, M.D.
• Kaytlynn Draper

• Clinical Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.