Organization Active NPI

Mind Management Institute Inc

  • Clinical Psychologist
  • Southfield, MI
National Provider Identifier
1679124408
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MIND MANAGEMENT INSTITUTE INC
Practice address
16250 Northland Dr Ste 239
Southfield, MI 48075-5206
Phone
(313) 800-2497
NPI assigned
Sep 23, 2019
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Dr. Thiera Danyal Clifford, LP, LPCNPI 1285013979
Title
Executive Director
Phone
(313) 800-2497

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 PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

16250 Northland Dr Ste 239
Southfield, MI 48075-5206

Mailing address

9049 Chambord Dr
Ypsilanti, MI 48197-9281
Phone (313) 800-2497

Other practice location 1

8619 Southfield Fwy Unit 3032
Detroit, MI 48228-1975
Phone (313) 800-2497

National Provider Directory

National Provider Directory

Locations

11000 W McNichols Rd
Ste 308
Detroit, MI 48221

8619 Southfield Fwy
Detroit, MI 48228
Phone (313) 433-3267

16250 Northland Dr
Ste 239
Southfield, MI 48075
Phone (248) 559-5722

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": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1679124408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 CHAMBORD DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979281",
            "telephone_number": "313-800-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 239",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755206",
            "telephone_number": "313-800-2497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8619 Southfield Fwy Unit 3032",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482281975",
            "country_code": "US",
            "telephone_number": "313-800-2497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND MANAGEMENT INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "THIERA",
        "authorized_official_middle_name": "DANYAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-800-2497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP, LPC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 Oct 28, 2026; 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.