Individual provider Active NPI

Suzanne Bilodeau, MA, LLP

  • Clinical Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1992027221
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014277 Issued in MI
Practice address
1750 S Telegraph Rd Ste 101
Bloomfield Hills, MI 48302-0177
Phone
(248) 451-9085
Fax
(248) 451-9089
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 6301014277 MI Primary

Addresses

Primary practice location

1750 S Telegraph Rd Ste 101
Bloomfield Hills, MI 48302-0177

Mailing address

1750 S Telegraph Rd Ste 101
Bloomfield Hills, MI 48302-0177
Phone (248) 451-9085

Other practice location 1

5701 Bow Pointe Dr
Suite 380
Clarkston, MI 48346-3198
Phone (248) 241-6514

Other practice location 2

1000 W University Dr Ste 302
Rochester, MI 48307-1876
Phone (248) 269-9760 ext. 4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301014277MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Psychiatric Associates PC PastSince Jul 25, 2008 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1992027221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "248-451-9085",
            "fax_number": "248-451-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "248-451-9085",
            "fax_number": "248-451-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Bow Pointe Dr",
            "address_2": "Suite 380",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483463198",
            "country_code": "US",
            "telephone_number": "248-241-6514",
            "fax_number": "248-241-6639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W University Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071876",
            "country_code": "US",
            "telephone_number": "248-269-9760 x4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILODEAU",
        "first_name": "SUZANNE",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.