Individual provider Active NPI

Laurene Saad-Younis

  • Clinical Psychologist
  • Dearborn, MI
National Provider Identifier
1043561921
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015220 Issued in MI
Practice address
5808 Schaefer Rd
Dearborn, MI 48126-2255
Phone
(313) 467-4653
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 6301015220 MI 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
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
I20151110000055 MI Practitioner - Clinical Psychologist 6103136809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sollarsand Associates IncGroup PAC ID 6608911995, 10 clinicians

Practice addresses (Care Compare)

1777 Axtell Dr
Suite 100
Troy, MI 48084-4400
Phone (248) 613-5377

5808 Schaefer Rd
Dearborn, MI 48126-2255
Phone (313) 467-4653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301015220MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sollars and Associates CurrentSince Oct 20, 2015 Accepting new patients
Integrative Psychological Care PLC Clinical CurrentSince Nov 21, 2023 Accepting new patients

Locations

725 S Adams Rd
Ste 235
Birmingham, MI 48009
Phone (248) 593-9276

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

5728 Schaefer Rd
Ste 204
Dearborn, MI 48126
Phone (313) 354-6234

1295 S Linden Rd
Flint, MI 48532

27780 Novi Rd
Ste 244
Novi, MI 48377
Phone (248) 826-7727

496 W Ann Arbor Trl
Ste 202
Plymouth, MI 48170
Phone (248) 274-6016

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1043561921",
    "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": {
        "last_name": "SAAD-YOUNIS",
        "first_name": "LAURENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.