Organization Active NPI

Opal Holistic Health, PLLC

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1396486452
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OPAL HOLISTIC HEALTH, PLLC
Practice address
32 N Washington St Ste 2
Ypsilanti, MI 48197-2662
Phone
(904) 540-7855
NPI assigned
Apr 5, 2022
Organization subpart
Yes
Parent organization
OPAL HOLISTIC HEALTH, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Radha K BhattNPI 1952839391
Title
Business Owner
Phone
(904) 540-7855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

32 N Washington St Ste 2
Ypsilanti, MI 48197-2662

Mailing address

6750 Baldwin Rd
Grass Lake, MI 49240-9160
Phone (904) 540-7855

National Provider Directory

National Provider Directory
Part of
Opal Holistic Health PLLC

Locations

2601 Jackson Ave
Ste 1131
Ann Arbor, MI 48103

124 Pearl St
Ste 205
Ypsilanti, MI 48197
Phone (904) 540-7855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1396486452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 BALDWIN RD",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409160",
            "telephone_number": "904-540-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N WASHINGTON ST STE 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972662",
            "telephone_number": "904-540-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL HOLISTIC HEALTH, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPAL HOLISTIC HEALTH, PLLC",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "904-540-7855"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.