Organization Active NPI

Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
National Provider Identifier
1679739700
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301007060 Issued in MI
Legal business name
RICHARD KNEIP, PH.D., P.C.
Practice address
6548 Town Center Dr Ste D
Clarkston, MI 48346
Phone
(800) 693-1916
Fax
(248) 605-3525
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dr. Richard Carl Kneip, PH.D.NPI 1558495051
Title
President
Phone
(248) 701-2017

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
Community/Behavioral Health Agency 251S00000X 6301007060 MI Primary

Addresses

Primary practice location

6548 Town Center Dr Ste D
Clarkston, MI 48346

Mailing address

PO Box 772263
Detroit, MI 48277-2263
Phone (800) 693-1916

Other practice location 1

7820 Graphic Dr Ste 100
Tinley Park, IL 60477-6275
Phone (800) 693-1916

Other practice location 2

3131 S State St Ste 226
Ann Arbor, MI 48108-1658
Phone (800) 693-1916

Other practice location 3

30150 Telegraph Rd Ste 245
Bingham Farms, MI 48025-4521
Phone (800) 693-1916

Other practice location 4

1051 Perimeter Dr Ste 700
Schaumburg, IL 60173-5855
Phone (800) 693-1916

Other practice location 5

1639 N Alpine Rd Ste 404
Rockford, IL 61107-1440
Phone (800) 693-1916

Other practice location 6

1560 Wall St Ste 204
Naperville, IL 60563-1146
Phone (800) 693-1916

Other practice location 7

1910 S Highland Ave Ste 320
Lombard, IL 60148-6192
Phone (800) 693-1916

Other practice location 8

51 W Jackson St Ste 215
Joliet, IL 60432-2175
Phone (800) 693-1916

Other practice location 9

1800 Nations Dr Ste 207
Gurnee, IL 60031-9173
Phone (800) 693-1916

Other practice location 10

2250 Point Blvd Ste 101
Elgin, IL 60123-7869
Phone (800) 693-1916

Other practice location 11

1400 E Touhy Ave Ste 250
Des Plaines, IL 60018-3339
Phone (800) 693-1916

Other practice location 12

405 E Ash Ave Ste C
Decatur, IL 62526-6117
Phone (800) 693-1916

Other practice location 13

1110 W Lake Cook Rd Ste 370
Buffalo Grove, IL 60089-1991
Phone (800) 693-1916

Other practice location 14

2710 E Lincoln St Ste 2
Bloomington, IL 61704-6010
Phone (800) 693-1916

Other practice location 15

39425 Garfield Rd Ste 23
Clinton Township, MI 48038-4651
Phone (800) 693-1916

Other practice location 16

10150 W National Ave Ste 370
West Allis, WI 53227-2152
Phone (800) 693-1916

Other practice location 17

707 W Moreland Blvd Ste 7
Waukesha, WI 53188-2400
Phone (800) 693-1916

Other practice location 18

2923 Marketplace Dr Ste 204
Fitchburg, WI 53719-5321
Phone (800) 693-1916

Other practice location 19

2780 Snelling Ave N Ste 102
Roseville, MN 55113-7115
Phone (800) 693-1916

Other practice location 20

8120 Penn Ave S Ste 400
Bloomington, MN 55431-1311
Phone (800) 693-1916

Other practice location 21

1 Parklane Blvd Ste 1200
Dearborn, MI 48126-2400
Phone (800) 693-1916

Other practice location 22

8341 Office Park Dr Ste E
Grand Blanc, MI 48439-2077
Phone (800) 693-1916

Other practice location 23

640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209
Phone (800) 693-1916

Other practice location 24

4341 S Westnedge Ave Ste 1205
Kalamazoo, MI 49008-3284
Phone (800) 693-1916

Other practice location 25

17940 Farmington Rd
Livonia, MI 48152-4444
Phone (800) 693-1916

Other practice location 26

41700 Gardenbrook Rd Ste 110
Novi, MI 48375-1320
Phone (800) 693-1916

Other practice location 27

2127 University Park Dr Ste 300
Okemos, MI 48864-5928
Phone (800) 693-1916

Other practice location 28

51 S Washington St Ste F
Oxford, MI 48371-6418
Phone (800) 693-1916

Other practice location 29

18303 E 10 Mile Rd Ste 200
Roseville, MI 48066-4989
Phone (800) 693-1916

Other practice location 30

13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767
Phone (800) 693-1916

Other practice location 31

1 Heritage Dr Ste 520
Southgate, MI 48195-3051
Phone (800) 693-1916

Other practice location 32

38600 Van Dyke Ave Ste 101
Sterling Heights, MI 48312-1171
Phone (800) 693-1916

Other practice location 33

735 S Garfield Ave Ste 200
Traverse City, MI 49686-3471
Phone (800) 693-1916

Other practice location 34

89 W South Blvd
Troy, MI 48085-1611
Phone (800) 693-1916

Other practice location 35

1843 R W Berends Dr SW
Wyoming, MI 49519-4955
Phone (800) 693-1916

Other names 1

  • Great Lakes Psychology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, WI, MN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20080731000086 MI Part B Supplier - Clinic/Group Practice 4880768415 Receives reassigned benefits from 331 practitioners
Practice locations: Clarkston, MI; Wyoming, MI; Troy, MI; Traverse City, MI; Sterling Heights, MI; Southgate, MI; Shelby Township, MI; Roseville, MI…
O20190204000199 IL Part B Supplier - Clinic/Group Practice 4880768415 Receives reassigned benefits from 46 practitioners
Practice locations: Naperville, IL; Rockford, IL; Schaumburg, IL
O20220826002066 WI Part B Supplier - Clinic/Group Practice 4880768415 Receives reassigned benefits from 44 practitioners
Practice locations: Wind Lake, WI
O20221117000817 MN Part B Supplier - Clinic/Group Practice 4880768415 Receives reassigned benefits from 11 practitioners
Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory

Locations (25 of 38)

1444 N Farnsworth Ave
Ste 303
Aurora, IL 60505

2710 E Lincoln St
Ste 2
Bloomington, IL 61704

1110 W Lake Cook Rd
Ste 370
Buffalo Grove, IL 60089
Phone (224) 563-6940

405 E Ash Ave
Ste C
Decatur, IL 62526

1400 E Touhy Ave
Ste 250
Des Plaines, IL 60018

2250 Point Blvd
Ste 101
Elgin, IL 60123

1800 Nations Dr
Ste 207
Gurnee, IL 60031

51 W Jackson St
Ste 215
Joliet, IL 60432

1910 S Highland Ave
Ste 320
Lombard, IL 60148
Phone (630) 337-6605

1639 N Alpine Rd
Ste 404
Rockford, IL 61107

1051 Perimeter Dr
Ste 700
Schaumburg, IL 60173
Phone (269) 350-4593

7820 Graphics Dr
Ste 100
Tinley Park, IL 60477

3131 S State St
Ste 226
Ann Arbor, MI 48108
Phone (734) 430-0881

30150 Telegraph Rd
Ste 245
Bingham Farms, MI 48025
Phone (248) 238-1824

3604 Clarkston Rd
Ste 102
Clarkston, MI 48348
Phone (248) 595-9969

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

936 S Baldwin Rd
Ste 102
Clarkston, MI 48348
Phone (248) 701-2017

42450 Garfield Rd
Clinton Twp, MI 48038

8245 Holly Rd
Ste 200
Grand Blanc, MI 48439
Phone (248) 605-3525

8341 Office Park Dr
Ste E
Grand Blanc, MI 48439
Phone (989) 413-6110

4341 S Westnedge Ave
Ste 1205
Kalamazoo, MI 49008
Phone (248) 716-5125

17199 N Laurel Park Dr
Ste 260
Livonia, MI 48152

17940 Farmington Rd
Livonia, MI 48152
Phone (734) 523-6800

41700 Gardenbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 429-7309

2127 University Park Dr
Ste 300
Okemos, MI 48864
Phone (248) 469-8918

Practitioners & affiliated clinicians

Practitioners 981

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

View all 981

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1679739700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772263",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772263",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 TOWN CENTER DR STE D",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7820 Graphic Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604776275",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 S State St Ste 226",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081658",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30150 Telegraph Rd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254521",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Perimeter Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601735855",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 N Alpine Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611071440",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Wall St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605631146",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 S Highland Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601486192",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 W Jackson St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604322175",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Nations Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600319173",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Point Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601237869",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Touhy Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600183339",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 E Ash Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625266117",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 W Lake Cook Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600891991",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 E Lincoln St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617046010",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39425 Garfield Rd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480384651",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10150 W National Ave Ste 370",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272152",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 W Moreland Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531882400",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2923 Marketplace Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537195321",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 Snelling Ave N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551137115",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8120 Penn Ave S Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554311311",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Parklane Blvd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262400",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8341 Office Park Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484392077",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 3 Mile Rd NW Ste G",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495448209",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4341 S Westnedge Ave Ste 1205",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490083284",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17940 Farmington Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481524444",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41700 Gardenbrook Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751320",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2127 University Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488645928",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 S Washington St Ste F",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MI",
            "postal_code": "483716418",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18303 E 10 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480664989",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13001 23 Mile Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483152767",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Heritage Dr Ste 520",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481953051",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38600 Van Dyke Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483121171",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 S Garfield Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863471",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 W South Blvd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851611",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1843 R W Berends Dr SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495194955",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD KNEIP, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "KNEIP",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-701-2017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301007060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Psychology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.