Individual provider Active NPI

Aminah Abdulhaqq, CDCD

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1467837211
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
121562 Issued in OH
Practice address
7800 Detroit Ave
Cleveland, OH 44102-2814
Phone
(216) 939-3734
NPI assigned
Jul 22, 2015
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 121562 OH Primary

Addresses

Primary practice location

7800 Detroit Ave
Cleveland, OH 44102-2814

Mailing address

7800 Detroit Ave
Cleveland, OH 44102-2814
Phone (216) 939-3734

Other names 1

  • Juwairriyah Abdulhaqq Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121562OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1467837211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022814",
            "telephone_number": "216-939-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022814",
            "telephone_number": "216-939-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULHAQQ",
        "first_name": "AMINAH",
        "name_prefix": "Mrs.",
        "credential": "CDCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "121562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUWAIRRIYAH",
            "last_name": "ABDULHAQQ",
            "credential": "CHEMICAL DEPENDENCY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.