Active NPI
Mohamed Alsaidy
- Clinical Social Worker
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW123251
- Practice address
- 2006 Hogback Rd Ste 1
Ann Arbor, MI 48105-9750 - Phone
- (734) 786-2338
- NPI assigned
- Mar 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW123251 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 6801105850 | MI |
Addresses
Primary practice location
2006 Hogback Rd Ste 1
Ann Arbor, MI 48105-9750
Mailing address
2006 Hogback Rd
Ann Arbor, MI 48105-9750
Phone (734) 786-2338
Other practice location 1
463 Worcester Rd Ste 406
Framingham, MA 01701-5344
Phone (855) 284-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191105002346 | MI | Practitioner - Clinical Social Worker | 4486986791 | Reassigns benefits to 2 organizations |
| I20221202002422 | MA | Practitioner - Clinical Social Worker | 4486986791 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
463 Worcester Rd
Suite 406
Framingham, MA 01701-5344
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW123251 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| St Mary Mercy Hospital Crna | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| Northeast Health Services, LLC | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Choose You PLLC | Clinical | Past | Accepting new patients |
| Northeast Health Services | Past | Accepting new patients |
Locations
872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992
463 Worcester Rd
Ste 406
Framingham, MA 01701
Phone (508) 388-1648
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
2006 Hogback Rd
Ann Arbor, MI 48105
Phone (734) 786-2317
2006 Hogback Rd
Ste 1
Ann Arbor, MI 48105
Phone (734) 325-4572
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
MA
-
- Clinical Neuropsychologist
- Ypsilanti, MI
- NPI 1841318714
-
- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
-
- Community/Behavioral Health Agency
- Ann Arbor, MI
- NPI 1386913705
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1447953971
-
- Community/Behavioral Health Agency
- Taunton, MA
- NPI 1730525163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1982145009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 HOGBACK RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059750",
"telephone_number": "734-786-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 HOGBACK RD STE 1",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059750",
"telephone_number": "734-786-2338"
}
],
"practiceLocations": [
{
"address_1": "463 Worcester Rd Ste 406",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017015344",
"country_code": "US",
"telephone_number": "855-284-7483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSAIDY",
"first_name": "MOHAMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-09",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW123251",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801105850",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.