Individual provider Active NPI

Joseph R Rizzo, PHD, LP, CAADC

  • Clinical Psychologist
  • Detroit, MI
National Provider Identifier
1699117317
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016222 Issued in MI
Practice address
89 E Edsel Ford Fwy Ste 200
Detroit, MI 48202-3742
Phone
(248) 587-7884
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Psychologist 103T00000X 6301016222 MI
Clinical Psychologist 103TC0700X 6301019534 MI
Other Technician 247200000X
Clinical Psychologist 103TC0700X 6301016222 MI Primary

Addresses

Primary practice location

89 E Edsel Ford Fwy Ste 200
Detroit, MI 48202-3742

Mailing address

530 S State St Ste 4079
Ann Arbor, MI 48109-1303
Phone (734) 764-8312

Other practice location 1

23810 Michigan Ave Ste 202
Dearborn, MI 48124-1830
Phone (313) 359-3161

Other practice location 2

530 S State St Ste 4079
Ann Arbor, MI 48109-1303
Phone (734) 764-8312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301016222MIMDPsychologist
6301019534MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Way Psychology Current Accepting new patients
The Symmetry Group, LLC Clinical PastSince Jan 1, 2017 Accepting new patients

Locations

89 E Edsel Ford Fwy
Ste 200
Detroit, MI 48202
Phone (248) 943-1814

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1699117317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S STATE ST STE 4079",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091303",
            "telephone_number": "734-764-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 E EDSEL FORD FWY STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023742",
            "telephone_number": "248-587-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23810 Michigan Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481241830",
            "country_code": "US",
            "telephone_number": "313-359-3161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S State St Ste 4079",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481091303",
            "country_code": "US",
            "telephone_number": "734-764-8312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016222",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019534",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.