NPIMap

Organization Active NPI

Michigan Healthcare Professionals, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarkston, MI
National Provider Identifier
1154150506
Registry record updated Jun 3, 2025
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
MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
Practice address
5625 Water Tower PL Ste 340
Clarkston, MI 48346-2671
Phone
(248) 384-8130
Fax
(248) 384-8131
NPI assigned
Aug 1, 2024
Organization subpart
Yes
Parent organization
MICHIGAN HEALTHCARE PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Lynda Assunta Glasser
Title
Cfo
Phone
(248) 851-3300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5625 Water Tower PL Ste 340
Clarkston, MI 48346-2671

Mailing address

30000 Northwestern Hwy
Farmington Hills, MI 48334-3227

Other practice location 1

5625 Water Tower Pl Ste 310
Clarkston, MI 48346-2674
Phone (248) 384-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000027 MI Part B Supplier - Clinic/Group Practice 0345413258 Receives reassigned benefits from 868 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Michigan Healthcare Professionals29 organizations share this tax ID, including this one
Part of
Michigan Healthcare Professionals

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1154150506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 WATER TOWER PL STE 340",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462671",
            "telephone_number": "248-384-8130",
            "fax_number": "248-384-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5625 Water Tower Pl Ste 310",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462674",
            "country_code": "US",
            "telephone_number": "248-384-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN HEALTHCARE PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN HEALTHCARE PROFESSIONALS, P.C.",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "ASSUNTA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-851-3300"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.