OrganizationActive
Outsidethebox Detroit Therapy
NPI 1003631987 · Social Worker · Dearborn Hts, MI
Outsidethebox Detroit Therapy is a Social Worker organization in Dearborn Hts, MI (NPI 1003631987).
Provider details
- NPI number
- 1003631987
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bradley Lake, Ceo/Therapist(313) 680-0019
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4131 Clippert St
Dearborn Hts, MI 48125-2732
Phone: (313) 680-0019
Street-level locationGet directions
Mailing address
23131 Michigan Ave # 1046
Dearborn, MI 48124-2020
Registry dates
- Enumerated
- 2024-11-18
- Last updated
- 2024-11-18
- Certified
- 2024-11-17
Frequently asked questions
- What is Outsidethebox Detroit Therapy's NPI number?
- Outsidethebox Detroit Therapy's National Provider Identifier (NPI) is 1003631987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Outsidethebox Detroit Therapy?
- Outsidethebox Detroit Therapy is classified in the NPPES registry as Social Worker (Behavioral Health & Social Service Providers).
- Where is Outsidethebox Detroit Therapy located?
- Outsidethebox Detroit Therapy's practice location on file with NPPES is 4131 Clippert St, Dearborn Hts, MI 48125-2732.
- What is Outsidethebox Detroit Therapy's phone number?
- The practice phone number listed in the NPPES registry for Outsidethebox Detroit Therapy is (313) 680-0019.
- Who is the authorized official for Outsidethebox Detroit Therapy?
- The authorized official listed on Outsidethebox Detroit Therapy's NPPES record is Bradley Lake, Ceo/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Outsidethebox Detroit Therapy's NPI active?
- Yes — Outsidethebox Detroit Therapy's NPI (1003631987) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.