MEDICARE: NUVERA MIND PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	103TH0100X	Health Service Psychologist
3	103TH0004X	Health Psychologist
4	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1962357574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUVERA MIND PLLC

Provider Business Mailing Address
First Line	:	PO BOX 250011
Second Line	:
City	:	FRANKLIN
State	:	MI
Zip	:	48025-0011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6570 CASTLE DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-2907
Country	:	US
Telephone Number	:	313-574-7597
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST /OWNER
Name	:	DR. CHRISTOPHER T CORBIN
Credential	:	PSYD
Telephone Number	:	313-574-7597

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	03/12/2026

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