Active NPI
Adam Duberstein, PSY.D., LP
- Clinical Psychologist
- Farmington, MI
National Provider Identifier
1871183863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6352000080
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6352000080 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C. L. Squires and Company, LLC | Clinical | Current | Accepting new patients |
| Betz King PC | Clinical | Current | Accepting new patients |
| Sage Tree Psychology Group LLC | Psychologist | Past | 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.
-
- Clinical Psychologist
- Farmington Hills, MI
- NPI 1538303474
-
- Clinical Psychologist
- Clawson, MI
- NPI 1710834098
-
- Psychologist
- Oxford, MI
- NPI 1265979397
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.