Lai Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LAI PSYCHOLOGICAL SERVICES LLC

Doing business as

Bloomfield Center for Psychology & Wellness

Practice address

43700 Woodward Ave Ste 204
Bloomfield Hills, MI 48302-5061

Phone

(248) 658-8121

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lora Ala Imsaiah, LLPNPI 1639848393

Title

Owner/Psychologist

Phone

(248) 658-8121

Specialties & licenses 10

Addresses

Other names 1

• Bloomfield Center for Psychology & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lora Ala Imsaiah

  • Clinical Psychologist
  • Bingham Farms, MI
  • NPI 1639848393
  Medicare reassignment NPD Authorized official
• Amanda Pollak, LMSW

  • Clinical Social Worker
  • Center Line, MI
  • NPI 1356153910
  Medicare reassignment NPD
• Saige M Twombly, PSY.D.

  • Clinical Psychologist
  • Cadillac, MI
  • NPI 1194208587
  Medicare reassignment NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1851144224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43206 EMILY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483146303",
            "telephone_number": "586-381-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE STE 204",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025061",
            "telephone_number": "248-658-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAI PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "IMSAIAH",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "ALA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-658-8121",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Center for Psychology & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Betsy Kulka, RN
• Julie Kwon, PH.D.
• Kynergy Home Care
• Lindsay C Laboda, LMSW
• Ashley Rachael Ladomer
• Shannon M Laino, FNP
• Yash P Lakra, MD
• Timothy J. Lamb, M.D.
• Brandee Lamontagne, LMSW
• Landers & Landers Home for the Aged, Inc.

• Clinical Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.