Healthcare Provider Details

I. General information

NPI: 1790507465
Provider Name (Legal Business Name): ARBOR PSYCHOLOGY GROUP OF ROYAL OAK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26657 WOODWARD AVE STE 100
HUNTINGTON WOODS MI
48070-1300
US

IV. Provider business mailing address

26657 WOODWARD AVE STE 100
HUNTINGTON WOODS MI
48070-1300
US

V. Phone/Fax

Practice location:
  • Phone: 734-738-0897
  • Fax: 734-738-0898
Mailing address:
  • Phone: 734-738-0897
  • Fax: 734-738-0898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL BAMBERY
Title or Position: OWNER/CLINIC DIRECTOR
Credential: PH.D.
Phone: 734-738-0897