Active NPI
Raad Jajo, M.D., PLLC
- Clinical Psychologist
- Dearborn, MI
National Provider Identifier
1396086070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4301082590
- Legal business name
- RAAD JAJO, M.D., PLLC
- Practice address
- 2314 Monroe St
Dearborn, MI 48124-3010 - Phone
- (313) 562-6633
- Fax
- (313) 562-0880
- NPI assigned
- Mar 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raad Jajo, M.D.
- Title
- Owner
- Phone
- (313) 562-6633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4301082590 | MI | Primary |
Addresses
Primary practice location
2314 Monroe St
Dearborn, MI 48124-3010
Mailing address
2314 Monroe St
Dearborn, MI 48124-3010
Phone (313) 562-6633
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1396086070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243010",
"telephone_number": "313-562-6633",
"fax_number": "313-562-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243010",
"telephone_number": "313-562-6633",
"fax_number": "313-562-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAAD JAJO, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "JAJO",
"authorized_official_first_name": "RAAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-562-6633",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "4301082590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.