Individual provider Active NPI

Adam Duberstein, PSY.D., LP

  • Clinical Psychologist
  • Farmington, MI
National Provider Identifier
1871183863
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6352000080 Issued in MI
Practice address
32770 Grand River Ave Ste 206-B
Farmington, MI 48336-3159
Phone
(248) 658-8070
Fax
(888) 428-6133
NPI assigned
Jan 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6352000080 MI Primary

Addresses

Primary practice location

32770 Grand River Ave Ste 206-B
Farmington, MI 48336-3159

Mailing address

1229 Gordon CT
Clawson, MI 48017-1786
Phone (248) 658-8070

Other practice location 1

925 N Lapeer Rd Ste 151
Oxford, MI 48371-6742
Phone (248) 658-8070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227002790 MI Practitioner - Clinical Psychologist 7113447517 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6352000080MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
C. L. Squires and Company, LLC Clinical CurrentSince Jun 20, 2026 Accepting new patients
Betz King PC Clinical CurrentSince Dec 12, 2024 Accepting new patients
Sage Tree Psychology Group LLC Psychologist PastSince Feb 13, 2017 Accepting new patients

Locations

32770 Grand River Ave
Ste 206B
Farmington Hills, MI 48336
Phone (248) 788-5798

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1871183863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 GORDON CT",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171786",
            "telephone_number": "248-658-8070",
            "fax_number": "888-428-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32770 GRAND RIVER AVE STE 206-B",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363159",
            "telephone_number": "248-658-8070",
            "fax_number": "888-428-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 N Lapeer Rd Ste 151",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MI",
            "postal_code": "483716742",
            "country_code": "US",
            "telephone_number": "248-658-8070",
            "fax_number": "888-428-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBERSTEIN",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6352000080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.