Active NPI
Oakland Psychological Clinic, P.C.
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1205023835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OAKLAND PSYCHOLOGICAL CLINIC, P.C.
- Practice address
- 21700 Northwestern Hwy
Suite 750
Southfield, MI 48075-4906 - Phone
- (248) 559-5558
- Fax
- (248) 559-6708
- NPI assigned
- Sep 27, 2007
- Last updated
- Mar 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elliott Richelson, M.D.
- Title
- President, Treasurer, Secretary
- Phone
- (904) 605-4986
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
21700 Northwestern Hwy
Suite 750
Southfield, MI 48075-4906
Mailing address
PO Box 7008
Bloomfield Hills, MI 48302-7008
Phone (248) 322-0003
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1205023835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7008",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483027008",
"telephone_number": "248-322-0003",
"fax_number": "248-322-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21700 NORTHWESTERN HWY",
"address_2": "SUITE 750",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754906",
"telephone_number": "248-559-5558",
"fax_number": "248-559-6708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKLAND PSYCHOLOGICAL CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-27",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "RICHELSON",
"authorized_official_first_name": "ELLIOTT",
"authorized_official_title_or_position": "PRESIDENT, TREASURER, SECRETARY",
"authorized_official_telephone_number": "904-605-4986",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Oakland Integrated Healthcare Network (Plum Hollow Center)
- Oakland Metro Rehab Inc
- Oakland Mobile Medical Services
- Oakland Physical Therapy and Rehab Inc
- Oakland Physical Therapy and Rehabilitation ,Inc
- Oakland PT Inc
- Oakland Regional Hospital Podiatry Group LLC
- Oakland Service Ventures LLC
- Oakland Southfield Physicians
- Oakville Care Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.