Healthcare Provider Details

I. General information

NPI: 1629916986
Provider Name (Legal Business Name): RIVKIN ADDICTION MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19100 GODDARD RD STE 1
ALLEN PARK MI
48101-1156
US

IV. Provider business mailing address

19100 GODDARD RD STE 1
ALLEN PARK MI
48101-1156
US

V. Phone/Fax

Practice location:
  • Phone: 348-330-2954
  • Fax:
Mailing address:
  • Phone: 313-315-6922
  • Fax: 313-315-6922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON MATTHEW RIVKIN
Title or Position: OWNER, SOLE OPERATOR
Credential: MD
Phone: 248-330-2954