Organization Active NPI

Integrative Psychological Care PLC

  • Clinical Psychologist
  • Dearborn, MI
National Provider Identifier
1043099450
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTEGRATIVE PSYCHOLOGICAL CARE PLC
Practice address
5808 Schaefer Rd
Dearborn, MI 48126-2255
Phone
(313) 467-4653
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Authorized official

Name
Dr. Laurene Saad-Younis, PSYDNPI 1043561921
Title
Owner/Licensed Psychologist
Phone
(313) 467-4653

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5808 Schaefer Rd
Dearborn, MI 48126-2255

Mailing address

30851 Bristol LN
Bingham Farms, MI 48025-4618
Phone (313) 467-4653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123003503 MI Part B Supplier - Clinic/Group Practice 3173975307 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, MI; Dearborn, MI

National Provider Directory

National Provider Directory

Locations

5808 Schaefer Rd
Dearborn, MI 48126
Phone (313) 467-4653

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": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702684800000",
    "number": "1043099450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30851 BRISTOL LN",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254618",
            "telephone_number": "313-467-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262255",
            "telephone_number": "313-467-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOLOGICAL CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "SAAD-YOUNIS",
        "authorized_official_first_name": "LAURENE",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-467-4653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.