John Atallah, LMSW - C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801119249 Issued in MI

Practice address

41700 Gardenbrook Rd Ste 110
Novi, MI 48375-1320

Phone

(248) 429-7309

NPI assigned

Nov 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Iron Mind Therapy PLLC

  • Clinical Social Worker
  • Novi, MI
  • NPI 1720806599
  Medicare reassignment NPD Authorized official
• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1487311197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CADYCENTRE # 161",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671119",
            "telephone_number": "248-429-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41700 GARDENBROOK RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751320",
            "telephone_number": "248-429-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLAH",
        "first_name": "JOHN",
        "credential": "LMSW - C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Podiatrists, PC
• Associates in Obstetrics and Gynecology PC
• Stephanie Aswegen
• At Home Urgent Care PLLC
• Bushra Atalla
• Vida Atchulo-Gomnah
• Myles Aten
• Valerie A Athan
• Athletico LTD (Athletico Physical Therapy)
• Linda Atkinson

• Clinical Social Worker in Novi, MI
• Providers in Novi, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; 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.

Verify at the official NPI Registry.