Individual provider Active NPI

Meagan Ahlijian, TLLP

  • Clinical Psychologist
  • Novi, MI
National Provider Identifier
1750779401
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016201 Issued in MI
Practice address
23985 Novi Rd
Suite B104
Novi, MI 48375-5436
Phone
(734) 891-5749
NPI assigned
Jan 5, 2015
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301016201 MI Primary

Addresses

Primary practice location

23985 Novi Rd
Suite B104
Novi, MI 48375-5436

Mailing address

21120 Whitlock St
Farmington Hills, MI 48336-5176
Phone (734) 891-5749

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301016201MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Finn PC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1750779401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21120 WHITLOCK ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365176",
            "telephone_number": "734-891-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23985 NOVI RD",
            "address_2": "SUITE B104",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755436",
            "telephone_number": "734-891-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLIJIAN",
        "first_name": "MEAGAN",
        "name_prefix": "Mrs.",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.