Active NPI
The Recovery Lab PLLC
- Health Psychologist
- Ann Arbor, MI
National Provider Identifier
1821988361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- Legal business name
- THE RECOVERY LAB PLLC
- Practice address
- 4860 Washtenaw Ave Ste 508
Ann Arbor, MI 48108-3401 - Phone
- (313) 800-2497
- NPI assigned
- Jul 7, 2025
- Last updated
- Mar 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thiera Danyal Clifford, LP, LPC
- Title
- Ceo
- Phone
- (313) 800-2497
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | NU | Primary |
Addresses
Primary practice location
4860 Washtenaw Ave Ste 508
Ann Arbor, MI 48108-3401
Mailing address
4860 Washtenaw Ave Ste 508
Ann Arbor, MI 48108-3401
Phone (313) 800-2497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4860 Washtenaw Ave
Ste 508
Ann Arbor, MI 48108
Phone (313) 800-2497
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Ann Arbor, MI
- NPI 1285013979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1821988361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 WASHTENAW AVE STE 508",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083401",
"telephone_number": "313-800-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 WASHTENAW AVE STE 508",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083401",
"telephone_number": "313-800-2497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE RECOVERY LAB PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-07",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "CLIFFORD",
"authorized_official_first_name": "THIERA",
"authorized_official_middle_name": "DANYAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "313-800-2497",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LP, LPC"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
- The Inner Mind LLC
- The Lee Center
- The Lenacare Group LLC (LenaCare Group)
- The Mih Group, LLC (Rapunzels Lice Boutique)
- The Open Road Collective LLC
- The Regents of the University of Michigan (UM Nurse Managed Centers/North Campus)
- The Safe Calm Place PLLC
- The Women's Center of Southeastern Michigan
- Kaitlin Ann Theder-Schmidt, CCC-SLP
- Arik Casteel Theeke, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.