Amani Fadlallah
NPI 1245603711ActiveIndividual· Psychologist· Dearborn, MI
Psychologist in Dearborn, Michigan, licensed in MI, with an NPI issued in November 2015.
Overview
| NPI | 1245603711 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 5, 2015 |
| Last updated in NPPES | Aug 5, 2022 |
| Certified by provider | Aug 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6301016473 | MI |
| Psychologist | 103T00000X | 6361005138 | MI |
| Psychologist, Clinical | 103TC0700X | 6301016473 | MI |
| Psychologist, Clinical | 103TC0700X | 6361005138 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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