Organization · Type 2 NPI

ST John Health System

Cognitive & Behavioral Psychologist · Madison Heights, MI

NPI number 1255451456 Active

Practice location

27483 Dequindre Rd, Suite 306
Madison Heights, MI 48071-3491

Call (248) 967-7988 Map

Fax (248) 967-7991

Mailing address

25925 Telegraph Rd, 210
Southfield, MI 48034-2518

Specialties and licenses

Taxonomy	Code	License
Cognitive & Behavioral Psychologist Primary	103TB0200X	None listed
Surgery Physician	208600000X	None listed

Cognitive & Behavioral Psychologist: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

26 other providers at this address

NPI record

NPI: 1255451456
Entity type: Organization (Type 2)
Issued: Mar 30, 2007
Last updated: Sep 11, 2025
Status: Active

Other names

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ST John Health Chronic Headache and Migraine Institute · doing business as

Authorized official

Sandra Ellen Whitman
Director-Physician Billing Services
(248) 746-3218

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255451456

ST John Health System's National Provider Identifier is 1255451456, issued on Mar 30, 2007. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Madison Heights, MI. The record was last updated on Sep 11, 2025.