Ida Veronica Colquitt, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013981 Issued in MI

Practice address

245 Pitkin St
Highland Park, MI 48203-3737

Phone

(313) 865-1500

NPI assigned

Mar 20, 2009

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Combined Success

  • Community Health Worker
  • Southfield, MI
  • NPI 1457948598

  Psychologist

  NPD Authorized official
• Optum Behavioral Care of Colorado, P.C.

  dba Perspectives Counseling Centers of Michigan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Troy, MI
  • NPI 1619734969
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1528209590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20690 WAYLAND ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765666",
            "telephone_number": "248-763-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PITKIN ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033737",
            "telephone_number": "313-865-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUITT",
        "first_name": "IDA",
        "middle_name": "VERONICA",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704425366",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Clark
• Regina M Clemons
• Christopher Coker
• Deborah Denise Coleman I
• Melanie Charell Coleman
• William Colston
• Community Veterans Services Inc
• Maureen Connolly, M.D.
• Paula Cook, LPN
• Shaun Cooper, PH.D

• Psychologist in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.