Individual provider Active NPI

Sherri A Roohi-Booroujeni, PHD

  • Addiction (Substance Use Disorder) Psychologist
  • Detroit, MI
National Provider Identifier
1841982113
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Practice address
6821 Medbury St
Detroit, MI 48211-3317
Phone
(313) 922-2222
Fax
(866) 287-5710
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X MI Primary

Addresses

Primary practice location

6821 Medbury St
Detroit, MI 48211-3317

Mailing address

6821 Medbury St
Detroit, MI 48211-3317
Phone (313) 922-2222

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health, Inc. CurrentSince May 28, 2023 Accepting new patients

Locations

6821 Medbury St
Detroit, MI 48211
Phone (313) 922-2222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1841982113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-2222",
            "fax_number": "866-287-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-2222",
            "fax_number": "866-287-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOHI-BOOROUJENI",
        "first_name": "SHERRI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.