LTD Psychological Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LTD PSYCHOLOGICAL SERVICES

Doing business as

Authentic Self Psychological Services

Practice address

15 E Kirby St
Suite 107B
Detroit, MI 48202-4043

Phone

(313) 506-0658

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Kalaj, PSYD

Title

Owner/Psychologist

Phone

(313) 506-0658

Specialties & licenses 1

Addresses

Other names 1

• Authentic Self Psychological Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Husam Ahmad Abdulkhaleq, LPC

  • Mental Health Counselor
  • Dearborn, MI
  • NPI 1194082081
  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1477174589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST",
            "address_2": "SUITE 107B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "313-506-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST",
            "address_2": "SUITE 107B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024043",
            "telephone_number": "313-506-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "KALAJ",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-506-0658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Self Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lozon, NP
• LS Care Solutions LLC
• LTAC Hospital Detroit (LTAC Hospital Detroit, LLC)
• LTAC Hospital Detroit, LLC
• Ltach Specialist PC
• Justin Ching Hsien Lu, MD
• Lauren Yang Lu, MD
• Zoe Lu, MD
• Jorge Lim Lua, MD
• Aimee F Luat, M.D.

• Adult Mental Health Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.