IndividualActive
David Peradotto, PHD
NPI 1043249469 · Clinical Child & Adolescent Psychologist · Novi, MI
Provider details
- NPI number
- 1043249469
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 6301008098 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
43450 W 10 Mile Rd
Novi, MI 48375-3172
Phone: (248) 344-7420
Fax: (248) 344-7423
Street-level locationGet directions
Mailing address
43450 W 10 Mile Rd
Novi, MI 48375-3172
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2008-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.