Individual provider Active NPI

Moray Jamil Wehab, MSW

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1285982710
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088785 Issued in MI
Practice address
6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2696
Phone
(313) 271-8170
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801088785 MI Primary

Addresses

Primary practice location

6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2696

Mailing address

6 Parklane Blvd Ste 695
Dearborn, MI 48126-2776
Phone (313) 271-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131018001035 MI Practitioner - Clinical Social Worker 6709010184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Behavioral Medicine PLLCGroup PAC ID 9133421985, 5 clinicians
Apex Behavioral Health Dearborn PLLCGroup PAC ID 7911165949, 9 clinicians

Practice addresses (Care Compare)

20282 Middlebelt Rd
Livonia, MI 48152-2002
Phone (248) 536-2028

6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2696

6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2776
Phone (313) 271-8170

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as group
Quality
99.29
Improvement activities
40
Cost
87.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Behavioral Health Dearborn PLLC CurrentSince Jul 1, 2013 Accepting new patients

Locations

6 Parklane Blvd
Ste 695
Dearborn, MI 48126
Phone (313) 271-8170

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1285982710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD STE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262776",
            "telephone_number": "313-271-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD",
            "address_2": "SUITE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262696",
            "telephone_number": "313-271-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHAB",
        "first_name": "MORAY",
        "middle_name": "JAMIL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.