NPIMap

Organization Active NPI

Optum Behavioral Care of Colorado, P.C.

Doing business as Oakland Psychological Clinic of Michigan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomfield Hills, MI
National Provider Identifier
1376300616
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Doing business as
Oakland Psychological Clinic of Michigan
Practice address
2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909
Phone
(245) 322-0001
NPI assigned
Mar 4, 2024
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Leslie Johnson
Title
Ceo
Phone
(704) 506-6267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909

Mailing address

11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone (248) 322-0001

Other practice location 1

17352 W 12 Mile Rd Ste 100
Southfield, MI 48076-6311
Phone (248) 559-5558

Other practice location 2

1800 N Milford Rd Ste 100
Milford, MI 48381-1047
Phone (248) 684-6400

Other practice location 3

1455 S Lapeer Rd Ste 175
Lake Orion, MI 48360-1467
Phone (248) 322-0001

Other practice location 4

10785 S Saginaw St Ste A
Grand Blanc, MI 48439-7003
Phone (248) 322-0001

Other practice location 5

16664 15 Mile Rd
Fraser, MI 48026-3713
Phone (586) 294-3030

Other practice location 6

14165 N Fenton Rd Ste 201
Fenton, MI 48430-1186
Phone (810) 732-0560

Other practice location 7

33300 Five Mile Rd Ste 208
Livonia, MI 48154-3077
Phone (734) 522-0280

Other names 1

  • Oakland Psychological Clinic of Michigan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423001699 MI Part B Supplier - Clinic/Group Practice 0941648463 Receives reassigned benefits from 39 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bloomfield Hills, MI; Fenton, MI; Flint, MI; Fraser, MI; Grand Blanc, MI; Lake Orion, MI; Livonia, MI; Milford, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Optum Behavioral Care PC33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1376300616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "248-322-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909",
            "telephone_number": "245-322-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17352 W 12 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480766311",
            "country_code": "US",
            "telephone_number": "248-559-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Milford Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MI",
            "postal_code": "483811047",
            "country_code": "US",
            "telephone_number": "248-684-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 S Lapeer Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483601467",
            "country_code": "US",
            "telephone_number": "248-322-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10785 S Saginaw St Ste A",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484397003",
            "country_code": "US",
            "telephone_number": "248-322-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16664 15 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480263713",
            "country_code": "US",
            "telephone_number": "586-294-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14165 N Fenton Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484301186",
            "country_code": "US",
            "telephone_number": "810-732-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33300 Five Mile Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481543077",
            "country_code": "US",
            "telephone_number": "734-522-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-506-6267"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Psychological Clinic of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.