Organization Active NPI

Gohar Psychological Services, PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1992320071
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GOHAR PSYCHOLOGICAL SERVICES, PLLC
Practice address
321 S Main St Ste 212
Ann Arbor, MI 48104-2128
Phone
(347) 878-2232
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Dina Gohar, PHDNPI 1427408384
Title
Licensed Clinical Psychologist
Phone
(347) 878-2232

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

321 S Main St Ste 212
Ann Arbor, MI 48104-2128

Mailing address

121 W Kingsley St # 405
Ann Arbor, MI 48103-3311

Other names 1

  • Gohar Psychology Services Doing business as

National Provider Directory

National Provider Directory

Locations

321 S Main St
Ste 212
Ann Arbor, MI 48104
Phone (347) 878-2232

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1992320071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W KINGSLEY ST # 405",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S MAIN ST STE 212",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042128",
            "telephone_number": "347-878-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOHAR PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "GOHAR",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-878-2232",
        "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": [
        {
            "organization_name": "Gohar Psychology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 15, 2020; 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.