MEDICARE: DR. JUHAYNA AJAMI PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY27518	CA
2	103TC0700X	Clinical Psychologist	PSY27518	CA

General Provider Information

NPI Number	:	1235507005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUHAYNA AJAMI PSYD

Provider Business Mailing Address
First Line	:	2827 CONCORD BLVD
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94519-2608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2827 CONCORD BLVD
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94519-2608
Country	:	US
Telephone Number	:	202-615-5925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2015
Last Update Date	:	01/14/2026

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