Individual provider Active NPI

Carter Fitzgerald Comrie, PHD, LP

  • Clinical Psychologist
  • Detroit, MI
National Provider Identifier
1548634462
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018158 Issued in MI
Practice address
1451 Bagley St Ste 15
Detroit, MI 48216-1990
Phone
(313) 241-6154
NPI assigned
Nov 16, 2015
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X 6301018158 MI Primary

Addresses

Primary practice location

1451 Bagley St Ste 15
Detroit, MI 48216-1990

Mailing address

601 King St
Detroit, MI 48202-2161
Phone (404) 567-9801

Other practice location 1

23400 Park St
Dearborn, MI 48124-2545
Phone (313) 241-6154

Other identifiers 2

IdentifierTypeStateIssuer
14540758OtherMICAQH
6301018158OtherMIMI LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209000682 MI Practitioner - Clinical Psychologist 4789017518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18518 Outer Dr
Dearborn, MI 48128-1874
Phone (313) 288-2450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301018158MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cscomrie Psychology PLLC Psychologist CurrentSince Apr 9, 2023 Accepting new patients
DMG Psychology Psychologist CurrentSince Jul 18, 2023 Accepting new patients

Locations

18518 Outer Dr
Dearborn, MI 48128
Phone (313) 288-2450

23400 Park St
Dearborn, MI 48124
Phone (313) 274-1000

1451 Bagley St
Ste 15
Detroit, MI 48216
Phone (313) 241-6154

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1548634462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 KING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022161",
            "telephone_number": "404-567-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BAGLEY ST STE 15",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161990",
            "telephone_number": "313-241-6154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23400 Park St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242545",
            "country_code": "US",
            "telephone_number": "313-241-6154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMRIE",
        "first_name": "CARTER",
        "middle_name": "FITZGERALD",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14540758",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "6301018158",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.