Organization Active NPI

Thyme Wellness

  • Psychologist
  • Dearborn, MI
National Provider Identifier
1053130500
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THYME WELLNESS
Practice address
165 Claremont St
Dearborn, MI 48124-1305
Phone
(313) 598-2313
NPI assigned
Oct 10, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Amal Ayad
Title
Ceo
Phone
(313) 598-2313

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary
Social Worker 104100000X NU

Addresses

Primary practice location

165 Claremont St
Dearborn, MI 48124-1305

Mailing address

165 Claremont St
Dearborn, MI 48124-1305
Phone (313) 598-2313

Other names 1

  • Healing Therapy Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1053130500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CLAREMONT ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241305",
            "telephone_number": "313-598-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CLAREMONT ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241305",
            "telephone_number": "313-598-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THYME WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "AYAD",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-598-2313"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.