Individual provider Active NPI

Margaret O Ajayi-Nabors, PHP

  • Psychologist
  • Kalamazoo, MI
National Provider Identifier
1336311257
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301012355 Issued in MI
Practice address
350 E Michigan Ave
Suite 135
Kalamazoo, MI 49007-3800
Phone
(269) 206-1480
Fax
(269) 366-4946
NPI assigned
Mar 31, 2008
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301012355 MI Primary

Addresses

Primary practice location

350 E Michigan Ave
Suite 135
Kalamazoo, MI 49007-3800

Mailing address

1400 W Milham Ave
Portage, MI 49024-1209
Phone (269) 312-8686

Other names 1

  • Margaret O Ajayi Former name

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
I20140609000333 MI Practitioner - Clinical Psychologist 3870725237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Psychology Services PLLCGroup PAC ID 9537481007, 2 clinicians

Practice addresses (Care Compare)

1400 W Milham Ave
Portage, MI 49024-1209
Phone (269) 312-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301012355MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo County Community Mental Health Authority CurrentSince Jun 1, 2022 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Jun 1, 2022 Accepting new patients
Clinical Psychology Services, PLLC CurrentSince Oct 17, 2014 Accepting new patients

Locations

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

350 E Michigan Ave
Ste 135
Kalamazoo, MI 49007
Phone (269) 206-1480

418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

1400 W Milham Ave
Portage, MI 49024
Phone (269) 312-8686

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1336311257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241209",
            "telephone_number": "269-312-8686",
            "fax_number": "269-220-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MICHIGAN AVE",
            "address_2": "SUITE 135",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073800",
            "telephone_number": "269-206-1480",
            "fax_number": "269-366-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI-NABORS",
        "first_name": "MARGARET",
        "middle_name": "O",
        "credential": "PHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "AJAYI",
            "middle_name": "O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.