Active NPI
Seyed Aboufazel Hosseini Nasab
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1992452932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6361008065
- Practice address
- 2350 Washtenaw Ave Ste 3
Ann Arbor, MI 48104 - Phone
- (734) 215-5853
- NPI assigned
- Mar 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6362009752 | MI | |
| Clinical Psychologist | 103TC0700X | 6361008065 | MI | Primary |
Addresses
Primary practice location
2350 Washtenaw Ave Ste 3
Ann Arbor, MI 48104
Mailing address
343 S McCord Rd
Holland, OH 43528-8742
Phone (567) 702-0900
Other practice location 1
41800 W 11 Mile Rd Ste 110
Novi, MI 48375
Phone (877) 693-5543
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 |
|---|---|---|---|
| 6362009752 | MI | MD | Mental Health Counselor |
| 6361008065 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judson Center, Inc. | Clinical | Past | Accepting new patients |
| Joy Family Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Okemos, MI
- NPI 1104291723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1992452932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 S MCCORD RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435288742",
"telephone_number": "567-702-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 WASHTENAW AVE STE 3",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48104",
"telephone_number": "734-215-5853"
}
],
"practiceLocations": [
{
"address_1": "41800 W 11 Mile Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "48375",
"country_code": "US",
"telephone_number": "877-693-5543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOSSEINI NASAB",
"first_name": "SEYED ABOUFAZEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-09",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6362009752",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6361008065",
"primary": true
}
],
"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 Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.