NPIMap

Organization Active NPI

Mind & Mood Clinic, PLLC

  • Community/Behavioral Health Agency
  • West Bloomfield, MI
National Provider Identifier
1710012372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIND & MOOD CLINIC, PLLC
Practice address
7071 Orchard Lake Rd
Suite 225
West Bloomfield, MI 48322-3669
Phone
(248) 851-1800
Fax
(248) 851-8201
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Irina Fiksman, M.D.NPI 1205917028
Title
Owner
Phone
(248) 851-1800

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 Primary

Addresses

Primary practice location

7071 Orchard Lake Rd
Suite 225
West Bloomfield, MI 48322-3669

Mailing address

7071 Orchard Lake Rd
Suite 225
West Bloomfield, MI 48322-3669
Phone (248) 851-1800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710012372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 ORCHARD LAKE RD",
            "address_2": "SUITE 225",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223669",
            "telephone_number": "248-851-1800",
            "fax_number": "248-851-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 ORCHARD LAKE RD",
            "address_2": "SUITE 225",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223669",
            "telephone_number": "248-851-1800",
            "fax_number": "248-851-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & MOOD CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIKSMAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-851-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.