NPIMap

Organization Active NPI

Doctors for Kids, PLC

  • Clinical Psychologist
  • Rochester Hills, MI
National Provider Identifier
1174385207
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DOCTORS FOR KIDS, PLC
Practice address
940 W Avon Rd Ste 11
Rochester Hills, MI 48307-2760
Phone
(248) 650-5009
Fax
(248) 652-9557
NPI assigned
Jan 24, 2024
Organization subpart
Yes
Parent organization
DOCTORS FOR KIDS, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Pankaj Mavani
Title
Business Manager
Phone
(248) 650-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

940 W Avon Rd Ste 11
Rochester Hills, MI 48307-2760

Mailing address

940 W Avon Rd Ste 10
Rochester Hills, MI 48307-2760
Phone (248) 650-5009

Other practice location 1

940 W Avon Rd Ste 10
Rochester Hills, MI 48307-2760
Phone (248) 650-5009

Other names 1

  • DFK Wellness and Behavioral Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Doctors for Kids PLC2 organizations share this tax ID, including this one
Part of
Doctors for Kids PLC

Other organizations with this tax ID 1

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

Locations

940 W Avon Rd
Ste 11
Rochester Hills, MI 48307
Phone (248) 650-5009

940 W Avon Rd
Ste 10
Rochester Hills, MI 48307
Phone (248) 650-5009

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1174385207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W AVON RD STE 10",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-650-5009",
            "fax_number": "248-652-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W AVON RD STE 11",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-650-5009",
            "fax_number": "248-652-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 W Avon Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483072760",
            "country_code": "US",
            "telephone_number": "248-650-5009",
            "fax_number": "248-652-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTORS FOR KIDS, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS FOR KIDS, PLC",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "MAVANI",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "248-650-5009"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFK Wellness and Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DFK Wellness and Behavioral Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.