Danielle Elizabeth Ghamlouche, CPRM,CADC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

21415 Goddard Rd
Taylor, MI 48180-4247

Phone

(734) 375-6900

NPI assigned

Nov 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Mallad Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

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  Single Specialty

  NPD

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1124841812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23025 WILSON AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281852",
            "telephone_number": "313-695-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21415 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804247",
            "telephone_number": "734-375-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAMLOUCHE",
        "first_name": "DANIELLE",
        "middle_name": "ELIZABETH",
        "credential": "CPRM,CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MALLAD",
            "credential": "CPRM-DP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Peer Specialist in Taylor, MI
• Providers in Taylor, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.