Healthcare Provider Details

I. General information

NPI: 1265355655
Provider Name (Legal Business Name): BLUE HILLS BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 SHELBY AVE STE 3
ANN ARBOR MI
48103-3803
US

IV. Provider business mailing address

2307 SHELBY AVE STE 3
ANN ARBOR MI
48103-3803
US

V. Phone/Fax

Practice location:
  • Phone: 734-480-8191
  • Fax:
Mailing address:
  • Phone: 734-480-8191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CAITLYN B SORENSEN
Title or Position: OWNER, PSYCHOLOGIST
Credential: PHD, LP, BCBA-LBA
Phone: 586-453-1297