Active NPI
Joseph R Rizzo, PHD, LP, CAADC
- Clinical Psychologist
- Detroit, MI
National Provider Identifier
1699117317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016222 | MI | MD | Psychologist |
| 6301019534 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Way Psychology | Current | Accepting new patients | |
| The Symmetry Group, LLC | Clinical | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1023808284
-
- Clinical Psychologist
- Dearborn, MI
- NPI 1568860898
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.