Lora Ala Imsaiah

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362009344 Issued in MI

Practice address

30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711

Phone

(248) 658-8121

NPI assigned

Sep 7, 2021

Sex

Female

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Lai Psychological Services LLC

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1851144224
  Medicare reassignment NPD Authorized official
• Place of Hope PLC

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1750972360
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1639848393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43206 EMILY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483146303",
            "telephone_number": "586-381-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255711",
            "telephone_number": "248-658-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50258 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483171374",
            "country_code": "US",
            "telephone_number": "586-884-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMSAIAH",
        "first_name": "LORA",
        "middle_name": "ALA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hytinen
• Rory Marie Iacobelli
• Raniya Ibrahim
• Taniya Ibrahim
• Joel Igwegbe, LPN
• Tariq Imtiaz
• In Peace Counseling Services LLC
• Inhome Connect of Michigan, PLLC
• Inhouse Hospice, LLC
• Cierra Inscho

• Clinical Psychologist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.

Verify at the official NPI Registry.