Organization Active NPI

Mind Management Institute Inc

  • Multi-Specialty Clinic/Center
  • Southfield, MI
National Provider Identifier
1679124408
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

16250 Northland Dr Ste 239
Southfield, MI 48075-5206

Mailing address

11000 W McNichols Rd Ste 323
Detroit, MI 48221-2393
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

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": "1751328000000",
    "number": "1679124408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 323",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212393",
            "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": "2025-07-01",
        "certification_date": "2025-07-01",
        "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": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 1, 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.