Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
HERON RIDGE ASSOCIATES PLC
Active
Organization
HERON RIDGE ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (PRESIDENT, SECRETARY, TREASURER)
(904) 605-4986
Entity
Organization
Contact information
Practice address
705 S MAIN ST, SUITE 280, PLYMOUTH, MI 48170-2089
(734) 454-3560
(734) 454-3570
Mailing address
3694 CLARKSTON RD, SUITE D, CLARKSTON, MI 48348-5213
(248) 693-8880
(248) 391-7478
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
822246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463240
VALUE OPTIONS
MI
01
—
750910408
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/12/2008
Last updated
12/30/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up