Active NPI
Michael Edward Behen, PHD
- Clinical Psychologist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 63010013057
- Practice address
- 37625 Pembroke Ave
Livonia, MI 48152-1050 - Phone
- (313) 656-4052
- NPI assigned
- Jul 13, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301013057 | MI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301013057 | MI | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 6301013057 | MI | |
| Clinical Psychologist | 103TC0700X | 63010013057 | MI | Primary |
Addresses
Primary practice location
37625 Pembroke Ave
Livonia, MI 48152-1050
Mailing address
2620 Woodward Ave
Detroit, MI 48201-3029
Phone (313) 354-3920
Other practice location 1
37625 Pembroke Ave
Livonia, MI 48152-1050
Phone (313) 656-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
37625 Pembroke Ave
Livonia, MI 48152-1050
Phone (313) 656-4052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63010013057 | MI | MD | Clinical Psychologist |
| 6301013057 | MI | MD | Intellectual & Developmental Disabilities Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Transporation LLC | Current | Accepting new patients | |
| Imagine Center LLC | Clinical | Current | Accepting new patients |
Locations
4160 Woodward Ave
Fl 2
Detroit, MI 48201
Phone (313) 264-3781
37625 Pembroke Ave
Livonia, MI 48152
Phone (734) 201-0343
194 E Main St
Northville, MI 48167
Phone (248) 719-7671
42140 Van Dyke Ave
Ste 190
Sterling Heights, MI 48314
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.
-
- Clinical Psychologist
- Northville, MI
- NPI 1467899666
-
- Non-emergency Medical Transport (VAN)
- Brooklyn, MI
- NPI 1568317717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1760407696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482013029",
"telephone_number": "313-354-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37625 PEMBROKE AVE",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521050",
"telephone_number": "313-656-4052"
}
],
"practiceLocations": [
{
"address_1": "37625 Pembroke Ave",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481521050",
"country_code": "US",
"telephone_number": "313-656-4052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHEN",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MI",
"license": "6301013057",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301013057",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MI",
"license": "6301013057",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "63010013057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.