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Burdette and Doss Psychological Services Lc

Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, MI · enumerated 2007 · authorized official Barbara Ann Tysell, Administrative Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073647731

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Registry record

Entity type Organization (Type 2)
Legal business name Burdette and Doss Psychological Services Lc
Practice address 17352 W 12 Mile Rd, Suite 100, Southfield, MI, 48076
Fax (248) 569-7626
Enumeration date Mar 15, 2007
Last updated in NPPES Oct 28, 2008

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary
103TP0814X Psychoanalysis Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 630534 (MI) Primary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 630534 (MI) Secondary

Authorized official

Name Barbara Ann Tysell
Title Administrative Director

Other identifiers

Identifier Type State Issuer
750910921 Other MI BCBS TRADITIONAL CODE
20700 Other MI BCBS SUB AB AND MGD CARE
7509109210 Other MI BCBS NASCO IDENTIFIER
1316097488 Other MI NPPESJAMES A. COWLEY NPI
26 0 F3 2684 0 Other MI NASCO GROUP TRACKING ID
38314498 Other MI HAP PROVIDER ID
7509109210 Other MI VALUEOPTIONS
0911921 Other MI BCBS PROVIDER ID MDS
0913921 Other MI BCBS PROVIDER ID MASTERS
630534 Other MI STATE SUBSTANCE ABUSE LIC
0912921 Other MI BCBS PROVIDER ID PHDS
10921 Other MI BCBS MANAGED CARE CODE
F037350 Other MI WEB DENIS IDENTIFIER
187925000 Other MI MAGELLAN IDENTIFIER
0910921 Other MI BCBS OF MICHIGAN
125750 Other MI VALUE OPTIONS PROVIDER ID
P69427 Other MI BLUE CARE NETWORK PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-28. Verify at npiregistry.cms.hhs.gov.
Where is Burdette and Doss Psychological Services Lc located?
The practice location on file with NPPES is in Southfield, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-28.