Active NPI
Sam Ajluni, M.D. PLLC
- Psychiatry Physician
- Southfield, MI
National Provider Identifier
1922431808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SAM AJLUNI, M.D. PLLC
- Practice address
- 26677 W. 12 Mile Rd PMB 3272
Southfield, MI 48034 - Phone
- (248) 808-4644
- Fax
- (248) 288-3770
- NPI assigned
- Aug 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sam Ajluni, M.D,
- Title
- President/Owner
- Phone
- (248) 808-4644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
26677 W. 12 Mile Rd PMB 3272
Southfield, MI 48034
Mailing address
26677 W. 12 Mile Rd PMB 3272
Southfield, MI 48034
Phone (248) 808-4644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1800 W 14 Mile Rd
Ste C
Royal Oak, MI 48073
Phone (248) 307-7738
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Southfield, MI
- NPI 1700888179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729987200000",
"number": "1922431808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26677 W. 12 MILE RD PMB 3272",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-808-4644",
"fax_number": "248-288-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26677 W. 12 MILE RD PMB 3272",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-808-4644",
"fax_number": "248-288-3770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM AJLUNI, M.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-15",
"last_updated": "2024-10-27",
"certification_date": "2024-10-27",
"status": "A",
"authorized_official_last_name": "AJLUNI",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "248-808-4644",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D,"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.