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Brookside Pediatric Therapy LLC

Mental Health Clinic/Center (Including Community Mental Health Center) in Novi, MI · enumerated 2023 · authorized official Yasser Mansour, Ceo.

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

National Provider Identifier

1467225946

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Registry record

Entity type Organization (Type 2)
Legal business name Brookside Pediatric Therapy LLC
Practice address 39650 Orchard Hill Pl, Novi, MI, 48375
Phone (248) 747-4263
Enumeration date Nov 6, 2023
Last updated in NPPES Oct 7, 2024

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary
106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers Secondary
106S00000X Behavior Technician Behavioral Health & Social Service Providers Secondary
171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225XM0800X Mental Health Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225XP0019X Physical Rehabilitation Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2355S0801X Speech-Language Assistant Speech, Language and Hearing Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary
251B00000X Case Management Agency Agencies Secondary
252Y00000X Early Intervention Provider Agency Agencies Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Yasser Mansour
Title Ceo
Phone (313) 207-4645

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 Brookside Pediatric Therapy LLC?
Brookside Pediatric Therapy LLC is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-07.