Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Light Inc.

Developmental Disabilities Clinic/Center in Wayne, MI · enumerated 2014 · authorized official Phyllis Clark, Executive Director.

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

National Provider Identifier

1497168215

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Light Inc.

Practice address 26105 Orchard Lake Rd Suite #208 Farmington Hills Mi 48, 35115 E Michigan Ave, Wayne, MI, 48184

Phone (248) 615-3042

Fax (248) 615-3047

Enumeration date Jun 9, 2014

Last updated in NPPES Nov 22, 2024

Taxonomy & classification

261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Phyllis Clark

Title Executive Director

Phone (313) 999-4890

Other identifiers

Identifier	Type	State	Issuer
1693530	Medicaid	MI	-

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.

Read the full guide → Validate an NPI →

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 2024-11-22. Verify at npiregistry.cms.hhs.gov.

Where is Blue Light Inc. located?

The practice location on file with NPPES is in Wayne, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-22.