Active NPI
Feeling Good Medical Center PLLC
- Psychiatry Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 57954
- Legal business name
- FEELING GOOD MEDICAL CENTER PLLC
- Practice address
- 1952 Monroe St
Dearborn, MI 48124-2917 - Phone
- (313) 483-9337
- Fax
- (313) 483-9356
- NPI assigned
- Jul 10, 2018
- Last updated
- Mar 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Boshra Abdulrahman Almoayed
- Title
- Owner
- Phone
- (313) 483-9337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 57954 | VA | Primary |
Addresses
Primary practice location
1952 Monroe St
Dearborn, MI 48124-2917
Mailing address
3 Pembroke CT
Dearborn, MI 48126-4203
Phone (313) 483-9337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447323829 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3 Parklane Blvd
Ste 1027
Dearborn, MI 48126
3 Parklane Blvd
Ste 1027W
Dearborn, MI 48126
Phone (313) 483-9337
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychosomatic Medicine Physician
- Dearborn, MI
- NPI 1447323829
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615939200000",
"number": "1629564810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PEMBROKE CT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264203",
"telephone_number": "313-483-9337",
"fax_number": "313-483-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242917",
"telephone_number": "313-483-9337",
"fax_number": "313-483-9356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEELING GOOD MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-10",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A",
"authorized_official_last_name": "ALMOAYED",
"authorized_official_first_name": "BOSHRA",
"authorized_official_middle_name": "ABDULRAHMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-483-9337"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "57954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447323829",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.