MAHA BAALBAKI (PHD) – Psychologist, NPI 1144964305

MAHA BAALBAKI (PHD) is a healthcare provider. based in Grandville, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301019058 (MI). The NPI Number for MAHA BAALBAKI (PHD) is 1144964305

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MAHA BAALBAKI (PHD)
NPI
1144964305
Phone
(141) 455-4751
Address
2655 GRAND CASTLE BLVD SW APT W519
Enumeration Date
25 April 2022
Last Update Date
25 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182984375
Graduation Year
2020 (6 years ago)
PAC ID
7911436852
Group Practice PAC ID
9638554298
Professional Enrollment ID
I20250122003008
Address ID
MI499358452IR330XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for MAHA BAALBAKI (PHD)

  • 2655 GRAND CASTLE BLVD SW APT W519

    GRANDVILLE, MI 494181632

    Phone: (141) 455-4751

    Type: Mailing

  • 4565 WILSON AVE SW STE 4A

    GRANDVILLE, MI 494182371

    Phone: (616) 591-9400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250122003008IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49418)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638554298View full group profile
NameSpecialtyState
Nurse PractitionerMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Nurse PractitionerMI
Mental Health CounselorMI
Clinical PsychologistMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is there an official ID for MAHA BAALBAKI (PHD) in U.S. healthcare records?
The official identifier for MAHA BAALBAKI (PHD) is NPI 1144964305.
Active or inactive — what applies to MAHA BAALBAKI (PHD)?
You should see MAHA BAALBAKI (PHD) as active in CMS-hosted NPPES data.
What expertise is attributed to MAHA BAALBAKI (PHD)?
MAHA BAALBAKI (PHD)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Where in Michigan is MAHA BAALBAKI (PHD) registered?
Use Grandville, Michigan as the headline location for MAHA BAALBAKI (PHD) here.
Does MAHA BAALBAKI (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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