Oakland Psychological Clinic, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OAKLAND PSYCHOLOGICAL CLINIC, P.C.

Practice address

1455 S Lapeer Rd Ste 175N
Lake Orion, MI 48360

Phone

(248) 393-5555

Fax

(248) 393-1791

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Elliott Richelson, M.D.

Title

President, Treasurer, Secretary

Phone

(904) 605-4986

Specialties & licenses 5

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Powell Bokor, LPC

  • Professional Counselor
  • Grand Blanc, MI
  • NPI 1376639500
  NPD
• Dion Edwards, PHD LLP

  • Clinical Psychologist
  • Romeo, MI
  • NPI 1386702272
  NPD

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1598952129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7008",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483027008",
            "telephone_number": "248-322-0003",
            "fax_number": "248-322-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S LAPEER RD STE 175N",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-393-5555",
            "fax_number": "248-393-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PSYCHOLOGICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "RICHELSON",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT, TREASURER, SECRETARY",
        "authorized_official_telephone_number": "904-605-4986",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Oakland Anxiety Center, PLLC
• North Oakland Ophthalmology, PLLC.
• Novalife Medical PLLC
• Hillary Nusbaum, MSW
• Suzanne O'Neill
• Oakland Sports Chiropractic
• Erika Grace Ockerman, CRNA
• Jason T Olafsson, DC
• Amy Olds
• Marisa Ashley Oleski, DMD

• Clinical Social Worker in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.