Provider Demographics
NPI:1184273716
Name:DRBRANDI
Entity type:Organization
Organization Name:DRBRANDI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRITCHETT-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:313-673-0447
Mailing Address - Street 1:16250 NORTHLAND DR STE 240
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5227
Mailing Address - Country:US
Mailing Address - Phone:313-673-0447
Mailing Address - Fax:248-996-9165
Practice Address - Street 1:16250 NORTHLAND DR STE 240
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5227
Practice Address - Country:US
Practice Address - Phone:313-673-0447
Practice Address - Fax:248-996-9165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty