Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
OTTENBREIT PSYCHOTHERAPY ASSOCIATES, LLC
Active
Organization
OTTENBREIT PSYCHOTHERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE D. OTTENBREIT LMSW, ASCW (CLINICAL SOCIAL WORKER)
(313) 575-6297
Entity
Organization
Contact information
Practice address
835 MASON ST, B-200, DEARBORN, MI 48124-2231
(313) 575-6297
(313) 406-4617
Mailing address
835 MASON ST, B-200, DEARBORN, MI 48124-2231
(313) 575-6297
(313) 406-4617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW-6801007603
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12313056
QAQH
—
Enumeration date
11/04/2016
Last updated
12/05/2016
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