Islamic Center of Detroit

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

ISLAMIC CENTER OF DETROIT

Practice address

14350 Tireman St
Detroit, MI 48228-6100

Phone

(313) 584-4143

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Sufian Nabhan

Title

Executive Director

Phone

(313) 584-4143

Specialties & licenses 8

Addresses

Locations

Practitioners 6

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

• Takween Dwaik

  • Mental Health Counselor
  • Troy, MI
  • NPI 1790390458
  NPD (past)
• Jessica Gardiner

  • Clinical Psychologist
  • Northville, MI
  • NPI 1790652394
  NPD (past)
• Khalled Ismail

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1386502656
  NPD (past)
• Aminh Kurdi

  • Social Worker
  • Dearborn, MI
  • NPI 1023594397
  NPD (past)
• Sarah Masad

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1235908625
  NPD (past)
• Shaden Nasser Mouslmani

  • Technician/Technologist
  • Bingham Farms, MI
  • NPI 1548857378
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1578303095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 TIREMAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482286100",
            "telephone_number": "313-584-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 TIREMAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482286100",
            "telephone_number": "313-584-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAMIC CENTER OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "NABHAN",
        "authorized_official_first_name": "SUFIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-584-4143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Ishmael, LMSW
• Mark Hany Iskandar, MD CANDIDATE
• Seth Iskowitz, M.D.
• Bodrul Islam, MD
• Sumaiya Islam
• Ismael Ismael, RRT,RPFT
• Arooma Ismail, MD
• Burujah Amina Ismail
• Hassan M Ismail, MD
• Israa Ismail, MD,PHD

• Public Health or Welfare Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.