Active NPI
Lisa Sakkab
- Psychologist
- Northville, MI
National Provider Identifier
1992422893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361007217
- Practice address
- 41740 6 Mile Rd Ste 103
Northville, MI 48168-4383 - Phone
- (734) 658-9619
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361007217 | MI | Primary |
Addresses
Primary practice location
41740 6 Mile Rd Ste 103
Northville, MI 48168-4383
Mailing address
38544 Emerald LN N
Westland, MI 48185-7636
Phone (734) 658-9619
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007217 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1992422893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38544 EMERALD LN N",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857636",
"telephone_number": "734-658-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41740 6 MILE RD STE 103",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481684383",
"telephone_number": "734-658-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKKAB",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361007217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.