Individual provider Active NPI

Susan G Danielson, PSYD

  • Clinical Psychologist
  • Livonia, MI
National Provider Identifier
1194029314
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014712 Issued in MI
Practice address
38807 Ann Arbor Rd Ste 9
Livonia, MI 48150
Phone
(734) 772-0148
Fax
(734) 943-6051
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 6301014712 MI Primary

Addresses

Primary practice location

38807 Ann Arbor Rd Ste 9
Livonia, MI 48150

Mailing address

38807 Ann Arbor Rd
Ste 9
Livonia, MI 48150-3896
Phone (734) 772-0148

Other practice location 1

7091 Orchard Lake Rd Ste 240
West Bloomfield, MI 48322-3651
Phone (734) 772-0148

Other identifiers 1

IdentifierTypeStateIssuer
0H28818OtherMIBCBSM PROVIDER PIN

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
I20121019000537 MI Practitioner - Clinical Psychologist 2961652359 Reassigns benefits to 1 organization
Practice locations: Livonia, MI; West Bloomfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collaborative Health Center PLLC 9 clinicians

Practice addresses (Care Compare)

38807 Ann Arbor Rd
Suite 9
Livonia, MI 48150-3896
Phone 73477201481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301014712MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Health Center, PLLC Clinical CurrentSince Jun 18, 2016 Accepting new patients
Essential Home Health Care Agency, Inc. Past Accepting new patients

Locations

38807 Ann Arbor Rd
Ste 9
Livonia, MI 48150
Phone (734) 772-0148

Organizations & group practices 2

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1194029314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD",
            "address_2": "STE 9",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "734-772-0148",
            "fax_number": "734-943-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 9",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48150",
            "telephone_number": "734-772-0148",
            "fax_number": "734-943-6051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7091 Orchard Lake Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223651",
            "country_code": "US",
            "telephone_number": "734-772-0148",
            "fax_number": "734-943-6051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER PIN",
            "identifier": "0H28818",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.