Individual provider Active NPI

Joseph Sabourin, LLP

  • Clinical Child & Adolescent Psychologist
  • W. Bloomfield, MI
National Provider Identifier
1336231174
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
6773 W. Maple Road
W. Bloomfield, MI 48322
Phone
(248) 661-6100
Fax
(248) 661-7347
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

6773 W. Maple Road
W. Bloomfield, MI 48322

Mailing address

6773 W. Maple Road
W. Bloomfield, MI 48322
Phone (248) 661-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336231174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6773 W. MAPLE ROAD",
            "city": "W. BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-661-6100",
            "fax_number": "248-661-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6773 W. MAPLE ROAD",
            "city": "W. BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-661-6100",
            "fax_number": "248-661-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOURIN",
        "first_name": "JOSEPH",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W. Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.