Individual provider Active NPI

Maha Baalbaki, PHD

  • Clinical Psychologist
  • Allendale, MI
National Provider Identifier
1144964305
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019058 Issued in MI
Practice address
10963 Gayle LN
Allendale, MI 49401-9148
Phone
(616) 591-9400
NPI assigned
Apr 25, 2022
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301019058 MI
Clinical Psychologist 103TC0700X 6301019058 MI Primary

Addresses

Primary practice location

10963 Gayle LN
Allendale, MI 49401-9148

Mailing address

10963 Gayle LN
Allendale, MI 49401-9148
Phone (141) 455-4751

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
I20250122003008 MI Practitioner - Clinical Psychologist 7911436852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians

Practice addresses (Care Compare)

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301019058MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care I of Michigan PC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Solace Counseling Services Single Specialty Past Accepting new patients

Locations

330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1144964305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10963 GAYLE LN",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019148",
            "telephone_number": "141-455-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10963 GAYLE LN",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019148",
            "telephone_number": "616-591-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAALBAKI",
        "first_name": "MAHA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301019058",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

Verify at the official NPI Registry.