Healthcare Provider Details

I. General information

NPI: 1033062005
Provider Name (Legal Business Name): URBANIK PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 GENESEE DR
ROYAL OAK MI
48073-2029
US

IV. Provider business mailing address

318 JOHN R RD # 160
TROY MI
48083-4542
US

V. Phone/Fax

Practice location:
  • Phone: 248-291-7375
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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. CHRISTOPHER URBANIK
Title or Position: OWNER
Credential: PHD, LP
Phone: 248-990-8615