Individual provider Active NPI

Kimberly Ann Alabi-Isama

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1164695086
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361000492 Issued in MI
Practice address
21587 Whittington St
Farmington Hills, MI 48336-5764
Phone
(313) 880-0358
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 6361000492 MI Primary
Professional Counselor 101YP2500X 6401223522 MI

Addresses

Primary practice location

21587 Whittington St
Farmington Hills, MI 48336-5764

Mailing address

21587 Whittington St
Farmington Hills, MI 48336-5764
Phone (313) 506-5739

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
I20250424002316 MI Practitioner - Mental Health Counselor 7416035647 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401223522MIMDProfessional Counselor
6361000492MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children Assessment and Therapy Services LLC Psychologist CurrentSince Apr 20, 2022 Accepting new patients
Kimberly Ann Alabi-Isama PastSince Mar 1, 2007 Accepting new patients
Ascension Genesys Hospital Past Accepting new patients

Locations

29150 Grand River Ave
Farmington Hills, MI 48336
Phone (313) 880-0358

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: vitalhealthmanagement.kimberlyalabi-isama@157655.advancedmd-direct.com

Organizations & group practices 4

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1164695086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21587 WHITTINGTON ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365764",
            "telephone_number": "313-506-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21587 WHITTINGTON ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365764",
            "telephone_number": "313-880-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABI-ISAMA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361000492",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.