Salman Alkhalifa
Individual provider Active NPI Psychologist · Grandville, MI
NPI 1972358786 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1972358786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6352000977 (MI)
- Practice address
- 4211 Parkway Place Dr SW
Grandville, MI 49418-2695 - Phone
- (616) 222-3700
- NPI assigned
- Apr 23, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6352000977 | MI | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6352000977 | MI | Yes |
Addresses
Primary practice location
4211 Parkway Place Dr SW
Grandville, MI 49418-2695
Mailing address
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Other practice location 1
300 68th St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PineRestCMHS@directaddress.pinerest.org |
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.