Brookside Pediatric Therapy LLC
NPI 1467225946 · Mental Health Clinic/Center (Including Community Mental Health Center) · Novi, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brookside Pediatric Therapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Novi, MI (NPI 1467225946).
Provider details
- NPI number
- 1467225946
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yasser Mansour, Ceo(313) 207-4645
Specialties & taxonomies
Ambulatory Health Care Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Assistant2355S0801X
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Case Management Agency251B00000X
Agencies
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
- 2023-11-06
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Frequently asked questions
- What is Brookside Pediatric Therapy LLC's NPI number?
- Brookside Pediatric Therapy LLC's National Provider Identifier (NPI) is 1467225946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brookside Pediatric Therapy LLC?
- Brookside Pediatric Therapy LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Brookside Pediatric Therapy LLC located?
- Brookside Pediatric Therapy LLC's practice location on file with NPPES is 39650 Orchard Hill Pl, Novi, MI 48375-5392.
- What is Brookside Pediatric Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Brookside Pediatric Therapy LLC is (248) 747-4263.
- Does Brookside Pediatric Therapy LLC accept Medicare?
- Brookside Pediatric Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brookside Pediatric Therapy LLC?
- The authorized official listed on Brookside Pediatric Therapy LLC's NPPES record is Yasser Mansour, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brookside Pediatric Therapy LLC's NPI active?
- Yes — Brookside Pediatric Therapy LLC's NPI (1467225946) is active in the NPPES registry as of the last update on 2024-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.