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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALFRED MANSOUR PHD
NPI 1275876963
Psychologist - Clinical in Ann Arbor, MI

Active since April 01, 2013PECOS Enrolled
250 W EISENHOWER PKWY STE 190, ANN ARBOR, MI 48103(734) 961-7196(734) 961-7187 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Aug 9, 2018 (2 updates tracked since 2018).

About Alfred Mansour Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALFRED MANSOUR PHD (NPI 1275876963) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301016060) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Novi, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275876963
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameALFRED MANSOURCredential: PHD
Location Address250 W EISENHOWER PKWY STE 190Ann Arbor, MI 48103-6934
Mailing Address250 W Eisenhower Pkwy Ste 190Ann Arbor, MI 48103-6934 · (734) 961-7196 · Fax (734) 961-7187
Phone(734) 961-7196
Fax(734) 961-7187
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 1, 2013
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1275876963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301016060
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 6301014783 (MI)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 6301014783 (MI)
250 W EISENHOWER PKWY STE 190, Ann Arbor, MI 48103
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Secondary Practice Location 1

Location 146325 W Twelve Mile Rd Ste 215Novi, MI 48377-2460 · Phone (734) 961-7196 · Fax (734) 961-7187

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alfred Mansour Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254636616
PECOS Enrollment IDI20160223000373
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
1,575 services308 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
921 services306 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
311 services310 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
310 services309 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
308 services307 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
191 services190 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL HOFFMAN PHD, LP
Psychologist (Clinical)
250 W EISENHOWER PKWY STE 190
ANN ARBOR, MI 48103
Washtenaw County (734) 961-7196
DR. EVAN ZACHARY GROSS PHD
Clinical Neuropsychologist
250 W EISENHOWER PKWY STE 190
ANN ARBOR, MI 48103
Washtenaw County (734) 961-7187
JAMES P SISLEY MA LMFT PLLC
Marriage & Family Therapist
250 W EISENHOWER PKWY STE 190
ANN ARBOR, MI 48103
Washtenaw County (734) 757-8164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfred Mansour's NPI number?

The NPI number for Alfred Mansour is 1275876963. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Alfred Mansour located?

Alfred Mansour practices at 250 W Eisenhower Pkwy Ste 190, Ann Arbor, MI 48103. The listed phone number is (734) 961-7196.

What is Alfred Mansour's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alfred Mansour enrolled in Medicare?

Yes. Alfred Mansour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alfred Mansour accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Alfred Mansour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alfred Mansour was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.