IndividualActive
Elan Dawson, M.A.
NPI 1467872713 · Clinical Child & Adolescent Psychologist · Detroit, MI
Provider details
- NPI number
- 1467872713
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 6301015741 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 831-2608
Street-level locationGet directions
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Registry dates
- Enumerated
- 2014-04-24
- Last updated
- 2014-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.