Organization Active NPI

American Integrative Holistic Psychiatry, PLLC

  • Psychosomatic Medicine Physician
  • Dearborn, MI
National Provider Identifier
1164106738
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
Legal business name
AMERICAN INTEGRATIVE HOLISTIC PSYCHIATRY, PLLC
Practice address
1952 Monroe St
Dearborn, MI 48124-2917
Phone
(313) 483-9337
Fax
(313) 483-9356
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Dr. Boshra Almoayed, MDNPI 1447323829
Title
Owner
Phone
(313) 483-9337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X Primary

Addresses

Primary practice location

1952 Monroe St
Dearborn, MI 48124-2917

Mailing address

3 Pembroke CT
Dearborn, MI 48126-4203
Phone (313) 483-9337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1164106738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PEMBROKE CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264203",
            "telephone_number": "313-483-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-483-9337",
            "fax_number": "313-483-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INTEGRATIVE HOLISTIC PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "ALMOAYED",
        "authorized_official_first_name": "BOSHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-483-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 13, 2023; 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.