Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amjad Ibrahim

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487534889

Amjad Ibrahim is a Psychiatric/Mental Health Nurse Practitioner in Royal Oak, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

220 S Main St
Royal Oak, MI 48067-2676
Phone: (248) 216-4704
Fax: (947) 245-4212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1355 Bogue St, East Lansing, MI 48824-6207 — (800) 605-6424

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704311666 (MI)

Record details

NPI number1487534889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 5, 2025
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address2969 Orchard Pl, Orchard Lake, MI 48324-2362

Other providers in Royal Oak