Organization Active NPI

Nida Hamid PSYD PLLC

  • Clinical Neuropsychologist
  • Troy, MI
National Provider Identifier
1174925630
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301014942 Issued in MI
Legal business name
NIDA HAMID PSYD PLLC
Practice address
3155 W Big Beaver Rd Ste 109
Troy, MI 48084-3006
Phone
(248) 878-0925
Fax
(248) 644-0237
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dr. Nida H Hamid, PSY.D.NPI 1528257409
Title
Owner/President
Phone
(248) 385-5756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 6301014942 MI Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6301014942 MI

Addresses

Primary practice location

3155 W Big Beaver Rd Ste 109
Troy, MI 48084-3006

Mailing address

3155 W Big Beaver Rd Ste 109
Troy, MI 48084-3006
Phone (248) 385-5756

National Provider Directory

National Provider Directory

Locations

3155 W Big Beaver Rd
Ste 109
Troy, MI 48084
Phone (248) 385-5756

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1174925630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 W BIG BEAVER RD STE 109",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843006",
            "telephone_number": "248-385-5756",
            "fax_number": "248-385-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 W BIG BEAVER RD STE 109",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843006",
            "telephone_number": "248-878-0925",
            "fax_number": "248-644-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDA HAMID PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "HAMID",
        "authorized_official_first_name": "NIDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-385-5756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301014942",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.