Organization Active NPI

Dynamic Mental Health PLLC

  • Clinical Psychologist
  • Bingham Farms, MI
National Provider Identifier
1942951462
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DYNAMIC MENTAL HEALTH PLLC
Practice address
30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711
Phone
(248) 701-9311
Fax
(248) 792-3249
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Authorized official

Name
Dunia Karana Zebari, PHDNPI 1104984210
Title
Owner
Phone
(248) 536-2754

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711

Mailing address

37280 Chelsea CT
Farmington Hills, MI 48331-2812
Phone (248) 701-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221018003249 MI Part B Supplier - Clinic/Group Practice 4082080916 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664064000000",
    "number": "1942951462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37280 CHELSEA CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312812",
            "telephone_number": "248-701-9311",
            "fax_number": "248-792-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255711",
            "telephone_number": "248-701-9311",
            "fax_number": "248-792-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "ZEBARI",
        "authorized_official_first_name": "DUNIA",
        "authorized_official_middle_name": "KARANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-536-2754",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.