Amal Ayad, TLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301015056 Issued in MI

Practice address

20300 Civic Center Dr
Suite#318
Southfield, MI 48076-4105

Phone

(248) 354-8460

Fax

(248) 354-4979

NPI assigned

Mar 15, 2012

Last updated

Mar 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Therapy Center PLLC

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1205658085
  NPD
• Arab American and Chaldean Council

  dba Acc

  • Psychiatry Physician
  • Troy, MI
  • NPI 1689006975
  NPD (past)

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1427323070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DR",
            "address_2": "SUITE#318",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764105",
            "telephone_number": "248-354-8460",
            "fax_number": "248-354-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DR",
            "address_2": "SUITE#318",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764105",
            "telephone_number": "248-354-8460",
            "fax_number": "248-354-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAD",
        "first_name": "AMAL",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Awoniyi O Awonuga, MD
• Solomon Chukwuemeka Awusah
• Axis PT
• Axxess Rehab LLC
• Axxess Transportation LLC
• Titilayo Ayanwola, M.P.H., R.D., L.D.
• Christina Ayar
• Rebekah Ayers
• James Aylmer
• Fadi Samer Mousa Ayoub, M.D.

• Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.