Illumination Psychotherapy, PLLC
NPI 1245093590 · Mental Health Clinic/Center (Including Community Mental Health Center) · Ann Arbor, MI
Illumination Psychotherapy, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Ann Arbor, MI (NPI 1245093590).
Provider details
- NPI number
- 1245093590
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Garrett Shotwell, Owner(773) 318-7304
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-01-31
- Last updated
- 2024-02-15
- Certified
- 2024-02-15
Frequently asked questions
- What is Illumination Psychotherapy, PLLC's NPI number?
- Illumination Psychotherapy, PLLC's National Provider Identifier (NPI) is 1245093590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illumination Psychotherapy, PLLC?
- Illumination Psychotherapy, PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Illumination Psychotherapy, PLLC located?
- Illumination Psychotherapy, PLLC's practice location on file with NPPES is 450 S Maple Rd Ste 858, Ann Arbor, MI 48103-3835.
- What is Illumination Psychotherapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Illumination Psychotherapy, PLLC is (773) 318-7304.
- Who is the authorized official for Illumination Psychotherapy, PLLC?
- The authorized official listed on Illumination Psychotherapy, PLLC's NPPES record is Garrett Shotwell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illumination Psychotherapy, PLLC's NPI active?
- Yes — Illumination Psychotherapy, PLLC's NPI (1245093590) is active in the NPPES registry as of the last update on 2024-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.