Individual provider Active NPI

Kenya Hameed

  • Clinical Neuropsychologist
  • Flint, MI
National Provider Identifier
1922556406
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301016816 Issued in MI
Practice address
111 East Court St
Suite 1B-1
Flint, MI 48502
Phone
(810) 262-2320
Fax
(810) 239-1281
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301016816 MI Primary

Addresses

Primary practice location

111 East Court St
Suite 1B-1
Flint, MI 48502

Mailing address

500 Brookview CT
Apt 201
Auburn Hills, MI 48326
Phone (201) 956-3327

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

LicenseStateTypeSpecialty
6301016816MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Past Accepting new patients

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1922556406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROOKVIEW CT",
            "address_2": "APT 201",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "48326",
            "telephone_number": "201-956-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST COURT ST",
            "address_2": "SUITE 1B-1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48502",
            "telephone_number": "810-262-2320",
            "fax_number": "810-239-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEED",
        "first_name": "KENYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301016816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.