Taha Chaudhary

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016943 Issued in MI

Practice address

6451 Schaefer Rd
Dearborn, MI 48126-2212

Phone

(313) 945-8380

NPI assigned

Jul 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225445588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262212",
            "telephone_number": "313-945-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36708 Dartmouth Dr",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481853490",
            "country_code": "US",
            "telephone_number": "734-458-8736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "TAHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Pediatrics
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• Geneva Chastanet-Severin, APRN
• Joseph Chattahi, M.D.
• Jeffrey Chau
• Janice Chavez
• Julia Marie Chavez, PT
• Simran Chawa, MD
• Hassen Chaytou, DC
• CHC Medical Group

• Clinical Psychologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.