Organization Active NPI

Action Net Psychological Services PLLC

  • Early Intervention Provider Agency
  • Farmington Hills, MI
National Provider Identifier
1164735148
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
6301009737 Issued in MI
Legal business name
ACTION NET PSYCHOLOGICAL SERVICES PLLC
Practice address
27600 Farmington Rd
Suite 103
Farmington Hills, MI 48334-3348
Phone
(248) 884-2187
Fax
(248) 661-2867
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Salma M. Ajo
Title
Directoe
Phone
(248) 884-2187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 6301009737 MI Primary

Addresses

Primary practice location

27600 Farmington Rd
Suite 103
Farmington Hills, MI 48334-3348

Mailing address

27600 Farmington Road
Suite 103
Farmington Hills, MI 48334-3348
Phone (248) 884-2187

National Provider Directory

National Provider Directory

Locations

27600 Farmington Rd
Ste 103
Farmington Hills, MI 48334
Phone (248) 884-2187

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1164735148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 FARMINGTON ROAD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343348",
            "telephone_number": "248-884-2187",
            "fax_number": "248-661-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 FARMINGTON RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343348",
            "telephone_number": "248-884-2187",
            "fax_number": "248-661-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION NET PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "AJO",
        "authorized_official_first_name": "SALMA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOE",
        "authorized_official_telephone_number": "248-884-2187",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MI",
            "license": "6301009737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.