Organization Active NPI

Transcending Trauma Institute, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, MI
National Provider Identifier
1083331664
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRANSCENDING TRAUMA INSTITUTE, PLLC
Practice address
40315 Michigan Ave # 1234
Canton, MI 48188-2908
Phone
(734) 353-1463
Fax
(734) 293-0264
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Authorized official

Name
Chelsea Lapiera Sudderth, MSW, LMSWNPI 1871726794
Title
Owner/Ceo/Clinical Psychotherapist
Phone
(734) 353-1463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

40315 Michigan Ave # 1234
Canton, MI 48188-2908

Mailing address

40315 Michigan Ave # 1234
Canton, MI 48188-2908
Phone (734) 353-1463

Other practice location 1

3323 Greenfield Rd
Suite 300
Dearborn, MI 48120
Phone (734) 353-1463

Other practice location 2

2723 S State St Ste 150
Ann Arbor, MI 48104-6188
Phone (734) 353-1463

Other identifiers 1

IdentifierTypeStateIssuer
1871726794MedicaidMI

Other names 2

  • Transcending Trauma Institute Doing business as
  • Integrative Mind Therapy Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1083331664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40315 MICHIGAN AVE # 1234",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882908",
            "telephone_number": "734-353-1463",
            "fax_number": "734-293-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40315 MICHIGAN AVE # 1234",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882908",
            "telephone_number": "734-353-1463",
            "fax_number": "734-293-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3323 Greenfield Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48120",
            "country_code": "US",
            "telephone_number": "734-353-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2723 S State St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481046188",
            "country_code": "US",
            "telephone_number": "734-353-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSCENDING TRAUMA INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "SUDDERTH",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LAPIERA",
        "authorized_official_title_or_position": "OWNER/CEO/CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-353-1463",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871726794",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records Program",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Health Information",
            "address_1": "200 Riverfront Dr Apt 19G",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482267597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Transcending Trauma Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrative Mind Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Integrative Mind Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.