Individual provider Active NPI

Benjamin Pfeifer, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1306443262
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018737 Issued in MI
Practice address
2075 W Stadium Blvd # 2691
Ann Arbor, MI 48103-7011
Phone
(734) 215-5153
NPI assigned
Oct 5, 2020
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 6301018737 MI Primary

Addresses

Primary practice location

2075 W Stadium Blvd # 2691
Ann Arbor, MI 48103-7011

Mailing address

2075 W Stadium Blvd # 2691
Ann Arbor, MI 48103-7011

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
I20250609002001 MI Practitioner - Clinical Psychologist 3072023027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2751 E Jefferson Ave
Suite 400
Detroit, MI 48207-4105
Phone (415) 840-8911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301018737MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Pfeifer Psychologist, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Rise Sleep Medical Group PA Clinical CurrentSince May 3, 2025 Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

2751 E Jefferson Ave
Ste 400
Detroit, MI 48207
Phone (313) 351-3811

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1306443262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 W STADIUM BLVD # 2691",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W STADIUM BLVD # 2691",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037011",
            "telephone_number": "734-215-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.