Organization Active NPI

Insightful Dynamics, Inc.

  • Clinical Social Worker
  • West Bloomfield, MI
National Provider Identifier
1013929074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801060621 Issued in MI
Legal business name
INSIGHTFUL DYNAMICS, INC.
Practice address
5876 Vassar
West Bloomfield, MI 48322-3544
Phone
(248) 539-2116
Fax
(248) 539-7203
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Perlman-Ajlouny, MSW, LMSW, ACSWNPI 1174543375
Title
President/Psychotherapist
Phone
(248) 539-2116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801060621 MI Primary

Addresses

Primary practice location

5876 Vassar
West Bloomfield, MI 48322-3544

Mailing address

5876 Vassar
West Bloomfield, MI 48322-3544
Phone (248) 539-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061003000040 MI Part B Supplier - Clinic/Group Practice 7719982404 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI; Southfield, MI

National Provider Directory

National Provider Directory

Locations

305 S Ctr St
Royal Oak, MI 48067
Phone (248) 327-7403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013929074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5876 VASSAR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223544",
            "telephone_number": "248-539-2116",
            "fax_number": "248-539-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5876 VASSAR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223544",
            "telephone_number": "248-539-2116",
            "fax_number": "248-539-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHTFUL DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERLMAN-AJLOUNY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "248-539-2116",
        "authorized_official_credential": "MSW, LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.