Individual provider Active NPI

Deirdre Ann Conroy, PH.D.

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1790709764
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012804 Issued in MI
Practice address
5777 W Maple Rd Ste 185
West Bloomfield, MI 48322-2268
Phone
(313) 241-6067
Fax
(313) 552-7926
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301012804 MI Primary
Cognitive & Behavioral Psychologist 103TB0200X 6301012804 MI
Sleep Specialist (PhD) 173F00000X 6301012804 MI

Addresses

Primary practice location

5777 W Maple Rd Ste 185
West Bloomfield, MI 48322-2268

Mailing address

397 E Breckenridge St # 104
Ferndale, MI 48220-1321
Phone (734) 223-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061031000157 MI Practitioner - Clinical Psychologist 7214934553 Reassigns benefits to 3 organizations
I20260520000131 VA Practitioner - Clinical Psychologist 7214934553 Reassigns benefits to 1 organization

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
Group practices
Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

1806 Summit Ave
300 199
Richmond, VA 23230-4339
Phone (415) 343-5839

2101 Commonwealth Blvd
Ann Arbor, MI 48105-2969
Phone (734) 763-9259

220 W Congress St
Unit 759
Detroit, MI 48226-3289
Phone (415) 343-5839

4250 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 764-6443

4260 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 764-0231

5777 W Maple Rd
Suite 185
West Bloomfield, MI 48322-2268
Phone (313) 241-6067

700 Woodland Dr
Saline, MI 48176-1620
Phone (734) 429-2302

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301012804MIMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deirdre Conroy PHD PLLC Clinical CurrentSince Sep 28, 2025 Accepting new patients
Pulmonary Associates, PC Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

5777 W Maple Rd
Ste 185
West Bloomfield, MI 48322
Phone (248) 688-0088

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1790709764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 E BRECKENRIDGE ST # 104",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201321",
            "telephone_number": "734-223-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD STE 185",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222268",
            "telephone_number": "313-241-6067",
            "fax_number": "313-552-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "DEIRDRE",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012804",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301012804",
            "primary": false
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "MI",
            "license": "6301012804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.