Individual provider Active NPI

Juvaria Javaid, LLP

  • Psychologist
  • Plymouth, MI
National Provider Identifier
1851673537
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013794 Issued in MI
Practice address
51248 Plymouth Ridge Dr
Plymouth, MI 48170-6366
Phone
(248) 330-7281
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013794 MI Primary

Addresses

Primary practice location

51248 Plymouth Ridge Dr
Plymouth, MI 48170-6366

Mailing address

51248 Plymouth Ridge Dr
Plymouth, MI 48170-6366
Phone (248) 330-7281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150206000724 MI Practitioner - Clinical Psychologist 8224353669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cognitive Care Center PCGroup PAC ID 5890014898, 5 clinicians

Practice addresses (Care Compare)

24110 Meadowbrook Rd
Suite 105
Novi, MI 48375-3406
Phone (734) 386-6527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301013794MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Care Center PC Psychologist CurrentSince Mar 20, 2015 Accepting new patients

Locations

24110 Meadowbrook Rd
Ste 105
Novi, MI 48375
Phone (734) 386-6527

43155 Main St
Ste 2300H
Novi, MI 48375
Phone (734) 386-6527

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": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1851673537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51248 PLYMOUTH RIDGE DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706366",
            "telephone_number": "248-330-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51248 PLYMOUTH RIDGE DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706366",
            "telephone_number": "248-330-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAID",
        "first_name": "JUVARIA",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.