OrganizationActive
Basshamdbt LLC
NPI 1174280002 · Clinical Social Worker · Birmingham, MI
Provider details
- NPI number
- 1174280002
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Parent organization
- Mymentalspace.org
- Organization subpart
- Yes
- Authorized official
- Kelly Bassham, Ceo(248) 986-2991
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
200 Elm St Ste 200d
Birmingham, MI 48009-6322
Phone: (248) 986-2991
Fax: (248) 294-1237
Street-level locationGet directions
Mailing address
200 Elm St Ste 200d
Birmingham, MI 48009-6322
Other names (DBA / former)
- Other name
- Mymentalspace.org
Registry dates
- Enumerated
- 2021-11-28
- Last updated
- 2021-11-28
- Certified
- 2021-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.