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Downriver Mental Health Clinic PC

Psychologist in Taylor, MI · enumerated 2006 · authorized official Ryan Pardo, Chief Legal Officer.

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

National Provider Identifier

1104930130

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Registry record

Entity type Organization (Type 2)
Legal business name Downriver Mental Health Clinic PC
Other name <Unavail>
Practice address 20500 Eureka Rd, Suite 200, Taylor, MI, 48180
Fax (734) 281-0402
Enumeration date Aug 18, 2006
Last updated in NPPES Mar 1, 2024

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary

Authorized official

Name Ryan Pardo
Title Chief Legal Officer

Other identifiers

Identifier Type State Issuer
003433000 188713000 Other MI MAGELLAN
4441363 Other MI TEAMSTERS
7509106200 Other - BCBS OF MI:MENTAL HEALTH
BM820042 Other MI MCARE
004241F3 Other MI HAP
101039 Other MI VALUE OPTIONS
511213 Other - CARE CHOICES
4449395 Other MI AETNA

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Downriver Mental Health Clinic PC?
Downriver Mental Health Clinic PC is registered in NPPES as a Psychologist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-01.