Renaissance Therapy Clinic PLLC
NPI 1407180284ActiveOrganization· Counselor, Professional· Bloomfield Hills, MI
Counselor, Professional in Bloomfield Hills, Michigan, registered in NPPES in September 2009. The authorized official on file is Vladimir Robert Vandalov, PSYD, LPC, NCC, Owner.
Overview
| NPI | 1407180284 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2009 |
| Last updated in NPPES | Jul 27, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401005273 | MI |
| Psychologist, Clinical | 103TC0700X | 6301000821 | MI |
| Social Worker, Clinical | 1041C0700X | 6801069906 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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