Wilfred Joseph McCloskey IV, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017061 Issued in MI

Practice address

38807 Ann Arbor Rd Ste 9
Livonia, MI 48150-3896

Phone

(734) 772-0148

Fax

(734) 943-6051

NPI assigned

Nov 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Collaborative Health Center, PLLC

  • Clinical Psychologist
  • Livonia, MI
  • NPI 1609223825
  NPD

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1467966689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 9",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "734-772-0148",
            "fax_number": "734-943-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 9",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "734-772-0148",
            "fax_number": "734-943-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "WILFRED",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin T McCartney, D.C.
• Scott Allen McCarty, M.D., PHARMD.
• Makayla McCarver
• Reva Morale McCaskill, M.D.
• Cathleen McClelland
• Jalaih McCloud
• Lee Efferson McCloud
• Todd McConaghey
• Alexandra McCourt
• Danielle McCoy

• Clinical Psychologist in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.