Individual provider Active NPI

Sally Palaian, PH.D.

  • Clinical Psychologist
  • Bingham Farms, MI
National Provider Identifier
1033397518
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007602 Issued in MI
Practice address
30400 Telegraph Rd
Suite 331
Bingham Farms, MI 48025-4537
Phone
(248) 645-5960
Fax
(248) 645-0562
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301007602 MI Primary

Addresses

Primary practice location

30400 Telegraph Rd
Suite 331
Bingham Farms, MI 48025-4537

Mailing address

30400 Telegraph Rd
Suite 331
Bingham Farms, MI 48025-4537
Phone (248) 645-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000908 MI Practitioner - Clinical Psychologist 2668654542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hind N Patros Ma LLP PLLCGroup PAC ID 3375067184, 2 clinicians

Practice addresses (Care Compare)

30400 Telegraph Rd
Suite 331
Bingham Farms, MI 48025-4573
Phone (248) 645-5960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301007602MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hind N Patros Ma LLP PLLC CurrentSince Jan 1, 2026 Accepting new patients
Sally Palaian, PH.D. P.C. CurrentSince Oct 6, 2010 Accepting new patients

Locations

30400 Telegraph Rd
Ste 331
Bingham Farms, MI 48025
Phone (248) 302-7823

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1033397518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD",
            "address_2": "SUITE 331",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254537",
            "telephone_number": "248-645-5960",
            "fax_number": "248-645-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD",
            "address_2": "SUITE 331",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254537",
            "telephone_number": "248-645-5960",
            "fax_number": "248-645-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAIAN",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.