Organization Active NPI

Deirdre Conroy PHD PLLC

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1881566487
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DEIRDRE CONROY PHD PLLC
Practice address
5777 W Maple Rd Ste 185
West Bloomfield, MI 48322-2268
Phone
(313) 241-6067
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Deirdre Conroy, PHDNPI 1790709764
Title
Owner
Phone
(313) 241-6067

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Sleep Specialist (PhD)Group: 193200000X MULTI-SPECIALTY GROUP 173F00000X

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260623003305 MI Part B Supplier - Clinic/Group Practice 2769955525 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1881566487",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRDRE CONROY PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-241-6067",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.