Individual provider Active NPI

Nida Haleema Hamid, PSYD

  • Clinical Neuropsychologist
  • Troy, MI
National Provider Identifier
1528257409
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301014942 Issued in MI
Practice address
3155 W Big Beaver Rd Ste 109
Troy, MI 48084-3006
Phone
(248) 385-5756
Fax
(248) 385-5758
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014942 MI
Clinical Neuropsychologist 103G00000X 6301014942 MI Primary

Addresses

Primary practice location

3155 W Big Beaver Rd Ste 109
Troy, MI 48084-3006

Mailing address

3155 W Big Beaver Rd Ste 109
Troy, MI 48084-3006
Phone (248) 385-5756

Other practice location 1

1740 W Big Beaver Rd
206
Troy, MI 48084-3507
Phone (248) 878-0925

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301014942MIMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1528257409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 W BIG BEAVER RD STE 109",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843006",
            "telephone_number": "248-385-5756",
            "fax_number": "248-385-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 W BIG BEAVER RD STE 109",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843006",
            "telephone_number": "248-385-5756",
            "fax_number": "248-385-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Big Beaver Rd",
            "address_2": "206",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843507",
            "country_code": "US",
            "telephone_number": "248-878-0925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMID",
        "first_name": "NIDA",
        "middle_name": "HALEEMA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014942",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301014942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.