Active NPI
Nagham Dabaja
- Professional Counselor
- Dearborn, MI
National Provider Identifier
1821523036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017674
- Practice address
- 6450 Maple St
Dearborn, MI 48126-2259 - Phone
- (313) 216-2243
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 6401017674 | MI | Primary |
Addresses
Primary practice location
6450 Maple St
Dearborn, MI 48126-2259
Mailing address
6450 Maple St
Dearborn, MI 48126-2259
Phone (313) 216-2243
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017674 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1821523036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 MAPLE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262259",
"telephone_number": "313-216-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 MAPLE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262259",
"telephone_number": "313-216-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABAJA",
"first_name": "NAGHAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017674",
"primary": true
}
],
"identifiers": [],
"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 Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.