Active NPI
Boshra Abdulrahman Almoayed, MD
- Psychosomatic Medicine Physician
- Dearborn, MI
National Provider Identifier
1447323829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 0101240493
- Practice address
- 1952 Monroe St
Dearborn, MI 48124-2917 - Phone
- (313) 770-5755
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | MD035907 | DC | |
| Psychosomatic Medicine Physician | 2084P0015X | 0101240493 | VA | Primary |
Addresses
Primary practice location
1952 Monroe St
Dearborn, MI 48124-2917
Mailing address
3 Pembroke CT
Dearborn, MI 48126-4203
Phone (313) 770-5755
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1952 Monroe St
Dearborn, MI 48124-2917
Phone (313) 483-9337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035907 | DC | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feeling Good Medical Center PLLC | Psychiatry | Current | Accepting new patients |
| American Integrative Holistic Psychiatry, PLLC | Psychosomatic Medicine | Current | Accepting new patients |
| Fairfax County, Virginia | Past | Accepting new patients |
Locations
3 Parklane Blvd
Ste 1027W
Dearborn, MI 48126
Phone (313) 483-9337
1952 Monroe St
Dearborn, MI 48124
Phone (313) 483-9337
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Dearborn, MI
- NPI 1629564810
-
- Psychosomatic Medicine Physician
- Dearborn, MI
- NPI 1164106738
-
dba Fairfax-Falls Church Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1154356244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1447323829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PEMBROKE CT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264203",
"telephone_number": "313-770-5755",
"fax_number": "313-483-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242917",
"telephone_number": "313-770-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMOAYED",
"first_name": "BOSHRA",
"middle_name": "ABDULRAHMAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "DC",
"license": "MD035907",
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "VA",
"license": "0101240493",
"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 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.