Lewis & Mikkola Comprehensive Psychological Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6301002406 Issued in MI

Legal business name

LEWIS & MIKKOLA COMPREHENSIVE PSYCHOLOGICAL SERVICES PLLC

Practice address

30200 Telegraph Rd
Suite #402
Bingham Farms, MI 48025-4502

Phone

(248) 644-3200

Fax

(248) 644-3211

NPI assigned

Mar 15, 2008

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda James Lewis, PH.D.

Title

Co-Director

Phone

(248) 644-3200

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David G. Mikkola, LMSW

  • Clinical Social Worker
  • Birmingham, MI
  • NPI 1528258456
  NPD (past)

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1447421672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE #402",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-644-3200",
            "fax_number": "248-644-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE #402",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-644-3200",
            "fax_number": "248-644-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS & MIKKOLA COMPREHENSIVE PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-15",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "248-644-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301002406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Leverette
• Cierra Unique Leverette
• Raphael Don Levin, L.M.S.W.
• Martin P. Levinson, M.D.
• Neil G Levitt, M.D.
• Ashlei Lewis, M.S., BCBA, LBA
• Brianna Lewis
• Charles Lewis
• Duriajaiye K Lewis
• Preana Lewis

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.