Organization Active NPI

Myna

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Inkster, MI
National Provider Identifier
1225814841
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MYNA
Practice address
388 Inkster Rd
Inkster, MI 48141-1209
Phone
(734) 716-5901
NPI assigned
Sep 8, 2023
Organization subpart
Yes
Parent organization
MYNAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Manal Omar, DONPI 1093197121
Title
Medical Director
Phone
(734) 716-5901

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

388 Inkster Rd
Inkster, MI 48141-1209

Mailing address

388 Inkster Rd
Inkster, MI 48141-1209
Phone (734) 716-5901

National Provider Directory

National Provider Directory
Part of
Myna

Locations

388 Inkster Rd
Inkster, MI 48141
Phone (313) 406-4397

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1225814841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411209",
            "telephone_number": "734-716-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411209",
            "telephone_number": "734-716-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYNA",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "MANAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-716-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.