Individual provider Active NPI

Amyna Ftouni

  • Clinical Psychologist
  • Birmingham, MI
National Provider Identifier
1669843850
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6352000039 Issued in MI
Practice address
135 N Old Woodward Ave Ste 200
Birmingham, MI 48009-3341
Phone
(313) 444-9887
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301016427 MI
Health Service Psychologist 103TH0100X 6352000039 MI
Clinical Psychologist 103TC0700X 6352000039 MI Primary

Addresses

Primary practice location

135 N Old Woodward Ave Ste 200
Birmingham, MI 48009-3341

Mailing address

5643 Dacosta St
Dearborn Heights, MI 48127-2415
Phone (313) 909-4099

Other practice location 1

1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Phone (248) 613-5377

Other practice location 2

553 E Jefferson Ave
Detroit, MI 48226-4324
Phone (313) 444-9887

Other identifiers 1

IdentifierTypeStateIssuer
P261145OtherMIBCBS PROVIDER ID

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301016427MIMDClinical Psychologist
6352000039MIMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amyna Ftouni Psychotherapy LLC Clinical CurrentSince Feb 23, 2020 Accepting new patients
Afp LLC Clinical CurrentSince Dec 21, 2025 Accepting new patients
Amyna Ftouni Clinical CurrentSince Dec 21, 2025 Accepting new patients
Laura W Hutchison PC Clinical Past Accepting new patients
Numina LLC Clinical PastSince Jan 1, 2021 Accepting new patients

Locations

135 N Old Woodward Ave
Ste 200
Birmingham, MI 48009
Phone (707) 815-0374

135 N Old Woodward Ave
Birmingham, MI 48009
Phone (313) 444-9887

553 E Jefferson Ave
Detroit, MI 48226
Phone (313) 444-9887

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1669843850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 DACOSTA ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272415",
            "telephone_number": "313-909-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N OLD WOODWARD AVE STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093341",
            "telephone_number": "313-444-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Axtell Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844400",
            "country_code": "US",
            "telephone_number": "248-613-5377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "553 E JEFFERSON AVE",
            "address_purpose": "LOCATION",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264324",
            "country_code": "US",
            "telephone_number": "313-444-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FTOUNI",
        "first_name": "AMYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016427",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MI",
            "license": "6352000039",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6352000039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "P261145",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.