Linda T Alyashae

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007842 Issued in MI

Practice address

64541 Van Dyke Rd Ste 101B
Washington TWP, MI 48095-2570

Phone

(248) 543-0033

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Mindful Self, LLC

  • Professional Counselor
  • Warren, MI
  • NPI 1477805463

  Psychologist

  NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1356818033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935552",
            "telephone_number": "248-543-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64541 VAN DYKE RD STE 101B",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952570",
            "telephone_number": "248-543-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31201 Chicago Rd S Ste A201",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480935552",
            "country_code": "US",
            "telephone_number": "248-543-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALYASHAE",
        "first_name": "LINDA",
        "middle_name": "T",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017630",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362004572",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Allen
• Baby Bloom Maternal Care LLC
• Jennifer Bara, DPT
• Andrei Bogdan Barbolovici
• Dimitrios Bastounis, RPH
• Barbara Blackmon

• Psychologist in Washington TWP, MI
• Providers in Washington TWP, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.