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Olivia Ann Moquin , MS, LLP

Psychologist β€’ Dearborn, MI

Active NPI 1447880463 Individual Practitioner Female Practitioner
Practice location in NPPES

835 Mason St Ste B220
Dearborn, MI 481242262

Call 3135619064 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

835 Mason St Ste B220

Dearborn, MI 481242262

Telephone 3135619064
Organization at the Same NPPES Address or Phone
Michigan Modern Psychology Group,pllc Facility NPI 1447701255

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Olivia Moquin as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dearborn and Michigan

55 active clinicians are listed under Psychologist with a practice address in Dearborn, MI (2,549 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dearborn

1.8% of these 55 clinicians have the CMS telehealth indicator.

1.8% of these 55 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-02
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MI 6361007867

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Manuel Manrique , PhD, LP

Psychologist - Clinical

NPI 1588710222

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 02, 2025

Recorded as OLIVIA MOQUIN, MS, LLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Psychologist (license number reported to NPPES: MI 6361007867)

βœ…
NPI Profile Active January 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2020

Registered at 835 MASON ST STE B220, DEARBORN, MI 481242262 (Tel: 3135619064)

πŸ“
Business Mailing Address (Initial Record) January 17, 2020

Registered at 835 MASON ST STE B220, DEARBORN, MI 481242262 (Tel: 3135619064)

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2020

Recorded as OLIVIA MOQUIN, MS, TLLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2020

Psychologist (license number reported to NPPES: MI 6301018206)

🟒
Initial NPI Registration & Enumeration January 17, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447880463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2020
Last Update: June 02, 2025
Sole Proprietor: No

Mailing Address

835 Mason St Ste B220

Dearborn, MI 481242262

Phone: 3135619064

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.