Organization Active NPI

Abdallah E Zamaria MD and Barbara Henike MD PC

  • Prescribing (Medical) Psychologist
  • Saint Clair Shores, MI
National Provider Identifier
1184821829
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
AZ034941 Issued in MI
Legal business name
ABDALLAH E ZAMARIA MD AND BARBARA HENIKE MD PC
Practice address
24001 Greater Mack Ave
Suite C
Saint Clair Shores, MI 48080-1471
Phone
(586) 772-3244
Fax
(586) 772-8550
NPI assigned
Jun 27, 2007
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Dr. Abdallah E Zamaria, MDNPI 1346227022
Title
Owner
Phone
(586) 772-3244

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
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X AZ034941 MI Primary

Addresses

Primary practice location

24001 Greater Mack Ave
Suite C
Saint Clair Shores, MI 48080-1471

Mailing address

24001 Greater Mack Ave
Suite C
Saint Clair Shores, MI 48080-1471
Phone (586) 772-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000901 MI Part B Supplier - Clinic/Group Practice 6608809454 Receives reassigned benefits from 2 practitioners
Practice locations: Grosse Pointe Woods, MI; Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

27739 Jefferson Ave
Ste 102
Saint Clair Shores, MI 48081
Phone (586) 772-3244

24001 Greater Mack Ave
Ste C
St Clr Shores, MI 48080
Phone (586) 772-3244

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1184821829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24001 GREATER MACK AVE",
            "address_2": "SUITE C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801471",
            "telephone_number": "586-772-3244",
            "fax_number": "586-772-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 GREATER MACK AVE",
            "address_2": "SUITE C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801471",
            "telephone_number": "586-772-3244",
            "fax_number": "586-772-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDALLAH E ZAMARIA MD AND BARBARA HENIKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ZAMARIA",
        "authorized_official_first_name": "ABDALLAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-772-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MI",
            "license": "AZ034941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.