Healthcare Provider Details

I. General information

NPI: 1962357574
Provider Name (Legal Business Name): NUVERA MIND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6570 CASTLE DR
BLOOMFIELD HILLS MI
48301-2907
US

IV. Provider business mailing address

PO BOX 250011
FRANKLIN MI
48025-0011
US

V. Phone/Fax

Practice location:
  • Phone: 313-574-7597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

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