IndividualActive
Raven Beasley, TLLP
NPI 1114644135 · Psychologist · Plymouth, MI
Raven Beasley, TLLP is a Psychologist provider in Plymouth, MI (NPI 1114644135).
Provider details
- NPI number
- 1114644135
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- TLLP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
705 S Main St Ste 280
Plymouth, MI 48170-1060
Phone: (734) 454-3560
Street-level locationGet directions
Mailing address
14111 Greenview Rd
Detroit, MI 48223-2911
Additional practice locations (1)
- 31000 Telegraph Rd Ste 120Bingham Farms, MI 48025-4321Phone: (248) 594-4991
Registry dates
- Enumerated
- 2022-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Frequently asked questions
- What is Raven Beasley's NPI number?
- Raven Beasley's National Provider Identifier (NPI) is 1114644135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Beasley's specialty?
- Raven Beasley is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Raven Beasley located?
- Raven Beasley's practice location on file with NPPES is 705 S Main St Ste 280, Plymouth, MI 48170-1060.
- What is Raven Beasley's phone number?
- The practice phone number listed in the NPPES registry for Raven Beasley is (734) 454-3560.
- Is Raven Beasley's NPI active?
- Yes — Raven Beasley's NPI (1114644135) is active in the NPPES registry as of the last update on 2022-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.