Individual provider Active NPI

Ahmad El-Mallah

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1114877495
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704381078 Issued in MI
Practice address
22160 Hamilton Ave
Farmington Hills, MI 48336-4914
Phone
(313) 358-6384
NPI assigned
Jan 28, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704381078 MI Primary

Addresses

Primary practice location

22160 Hamilton Ave
Farmington Hills, MI 48336-4914

Mailing address

22160 Hamilton Ave
Farmington Hills, MI 48336-4914
Phone (313) 358-6384

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604000896 MI Practitioner - Nurse Practitioner 4082185657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychplus Associates of Michigan, PLLCGroup PAC ID 7911345764, 26 clinicians

Practice addresses (Care Compare)

290 Town Ctr Dr
Suite 141
Dearborn, MI 48126-2739
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704381078MIMDPsychiatric/Mental Health Nurse Practitioner

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": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1114877495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22160 HAMILTON AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364914",
            "telephone_number": "313-358-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22160 HAMILTON AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364914",
            "telephone_number": "313-358-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-MALLAH",
        "first_name": "AHMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704381078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.