CLC Behavioral Health, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CLC BEHAVIORAL HEALTH, PLLC

Practice address

370 E Maple Rd
Birmingham, MI 48009-6303

Phone

(248) 671-4383

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Cassidy Campanale, MA, LLPNPI 1922716174

Title

Owner/Therapist

Phone

(248) 671-4383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cassidy Campanale, TLLP

  • Clinical Psychologist
  • Southfield, MI
  • NPI 1922716174
  NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1922811587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 ERIE DR",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483241522",
            "telephone_number": "248-671-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MAPLE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096303",
            "telephone_number": "248-671-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLC BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "CAMPANALE",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-671-4383",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.