Active NPI
Maham Ahmed
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1114762143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3901 Chrysler Drive
Tolan Park Psychiatry Behavioral Health Clinic
Detroit, MI 48201 - Phone
- (313) 577-7523
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3901 Chrysler Drive
Tolan Park Psychiatry Behavioral Health Clinic
Detroit, MI 48201
Mailing address
3901 Chrysler Drive
Tolan Park Psychiatry Behavioral Health Clinic
Detroit, MI 48201
Phone (313) 577-7523
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260106002813 | MI | Order and Referring Only - Psychiatry | 4981190287 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1114762143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 CHRYSLER DRIVE",
"address_2": "TOLAN PARK PSYCHIATRY BEHAVIORAL HEALTH CLINIC",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-577-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CHRYSLER DRIVE",
"address_2": "TOLAN PARK PSYCHIATRY BEHAVIORAL HEALTH CLINIC",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-577-7523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MAHAM",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.