Revitalize Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

REVITALIZE PSYCHOLOGICAL SERVICES, PLLC

Practice address

16080 Nathan Dr
Macomb, MI 48044-4959

Phone

(586) 822-9711

NPI assigned

Aug 14, 2025

Organization subpart

No

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

Authorized official

Name

Sanela Kalakovic, PHDNPI 1689242638

Title

Owner

Phone

(586) 822-9711

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sanela Kalakovic, TLLP

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1689242638
  NPD Authorized official

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1942186010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16080 NATHAN DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16080 NATHAN DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444959",
            "telephone_number": "586-822-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "KALAKOVIC",
        "authorized_official_first_name": "SANELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-822-9711",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Macomb, MI
• Providers in Macomb, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.