Individual provider Active NPI

Soha Alammoury

  • Psychiatric/Mental Health Nurse Practitioner
  • Westland, MI
National Provider Identifier
1750730834
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704338084 Issued in MI
Practice address
8623 N Wayne Rd
Westland, MI 48185-1137
Phone
(734) 425-0636
NPI assigned
Jun 8, 2016
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R43090 ND
Adult Health Nurse Practitioner 363LA2200X 4704338084 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704338084 MI Primary

Addresses

Primary practice location

8623 N Wayne Rd
Westland, MI 48185-1137

Mailing address

8623 N Wayne Rd
Westland, MI 48185-1137

Other practice location 1

2222 N Beech Daly Rd Ste 1
Dearborn Heights, MI 48127-3491
Phone (313) 406-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MI, MN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160809003113 ND Practitioner - Nurse Practitioner 1557655859 Reassigns benefits to 2 organizations
I20180205001278 MI Practitioner - Nurse Practitioner 1557655859 Reassigns benefits to 3 organizations
I20220517001693 MN Practitioner - Nurse Practitioner 1557655859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Place of Hope PLCGroup PAC ID 7618382243, 2 clinicians

Practice addresses (Care Compare)

1122 1St Ave N
Fargo, ND 58102-4604

121 University Dr N
Fargo, ND 58102-4631
Phone (701) 478-5808

2222 N Beech Daly Rd
Suite 1
Dearborn Heights, MI 48127-3491
Phone (313) 406-9996

819 30TH Ave S
Suite 206
Moorhead, MN 56560-5054
Phone (218) 477-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4910MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Adult Health CurrentSince Aug 9, 2024 Accepting new patients
Hegira Health, Inc CurrentSince Jan 15, 2018 Accepting new patients
Hegira Health, Inc. CurrentSince Jan 15, 2018 Accepting new patients
Workit Health Mi PLLC CurrentSince Feb 4, 2022 Accepting new patients
PSJ Acquisition LLC Current Accepting new patients
PSJ Acquisition LLC CurrentSince Jul 1, 2016 Accepting new patients
Midwest Mental Health Clinic PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Henry Ford Health System CurrentSince Aug 9, 2024 Accepting new patients

Locations

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

8623 N Wayne Rd
Westland, MI 48185
Phone (734) 367-0469

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

8623 N Wayne Rd
Ste 310
Westland, MI 48185
Phone (734) 513-7598

11800 Singletree Ln
Eden Prairie, MN 55344
Phone (952) 237-8619

819 30th Ave S
Ste 206
Moorhead, MN 56560
Phone (218) 477-1353

1122 1st Ave N
Fargo, ND 58102
Phone (218) 477-1353

510 4th St S
Fargo, ND 58103
Phone (701) 476-7200

Interoperability endpoints

  • Direct secure messaging: soha.alammoury@597174495543300.direct.elationemr.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1750730834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851137",
            "telephone_number": "734-425-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Beech Daly Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481273491",
            "country_code": "US",
            "telephone_number": "313-406-9996",
            "fax_number": "313-455-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAMMOURY",
        "first_name": "SOHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ND",
            "license": "R43090",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704338084",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704338084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.