Individual provider Active NPI

Christopher Urbanik, PHD, LP

  • Clinical Psychologist
  • Royal Oak, MI
National Provider Identifier
1093415523
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019329 Issued in MI
Practice address
1104 Genesee Dr
Royal Oak, MI 48073-2029
Phone
(248) 291-7375
NPI assigned
Mar 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301019329 MI Primary

Addresses

Primary practice location

1104 Genesee Dr
Royal Oak, MI 48073-2029

Mailing address

318 John R Rd # 160
Troy, MI 48083-4542
Phone (248) 291-7375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127002709 MI Practitioner - Clinical Psychologist 6305371386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Urbanik Psychological Services, PLLC Clinical Current Accepting new patients
Detroit Central City Community Mental Health Inc. CurrentSince Nov 20, 2024 Accepting new patients
Detroit Central City Community Mental Health Inc. CurrentSince Nov 20, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Locations

10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595

1240 3rd St
Detroit, MI 48226
Phone (313) 635-4213

613 Abbott St
Detroit, MI 48226

318 John R Rd
Troy, MI 48083
Phone (519) 999-9964

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1093415523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 JOHN R RD # 160",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834542",
            "telephone_number": "248-291-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 GENESEE DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732029",
            "telephone_number": "248-291-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANIK",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.