Organization Active NPI

David N Mittelman PHD LLC

  • Clinical Psychologist
  • Southfield, MI
National Provider Identifier
1518840073
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DAVID N MITTELMAN PHD LLC
Practice address
29551 Greenfield Rd Ste 204
Southfield, MI 48076-5872
Phone
(248) 980-8349
NPI assigned
Jul 30, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
David N Mittelman, PHDNPI 1669427639
Title
Owner
Phone
(248) 980-8349

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 Psychologist 103TC0700X Primary

Addresses

Primary practice location

29551 Greenfield Rd Ste 204
Southfield, MI 48076-5872

Mailing address

29551 Greenfield Rd Ste 204
Southfield, MI 48076-5872
Phone (248) 980-8349

National Provider Directory

National Provider Directory

Locations

29551 Greenfield Rd
Ste 204
Southfield, MI 48076
Phone (248) 980-8349

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1518840073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765872",
            "telephone_number": "248-980-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765872",
            "telephone_number": "248-980-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID N MITTELMAN PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MITTELMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-980-8349",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.