LEAH BONILLA (NPI# 1346881232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346881232 |
| Entity Type | Individual |
| Full Name | LEAH BONILLA |
| Credential | PHD, LLP |
| Practice Address |
888 W Big Beaver Rd Ste 1450 Troy MI 48084-4762 |
| Practice Telephone | 2482448644 |
| Mailing Telephone | 2482448644 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301018128 | MI | Behavioral Health & Social Service Providers |
| Street Address |
888 W BIG BEAVER RD STE 1450 |
| City | TROY |
| State | MI |
| Zip Code | 48084-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033227269 | Perspectives of Troy, P.C. | Counselor | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2006-08-28 |
| 1154960920 | Steven Coddington | Counselor | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2019-12-27 |
| 1407320393 | Evelyn Schuele | Counselor | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2019-01-14 |
| 1669954772 | Olivia Rose Dixon | Counselor | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2018-09-05 |
| 1205331741 | Tracey A Reno | Counselor | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2018-03-27 |
| 1790202281 | David Caponi | Social Worker | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2017-08-24 |
| 1841717600 | Dejan Jancevski | Psychologist | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2017-08-23 |
| 1093182586 | Patricia D Sims | Counselor | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2015-08-31 |
| 1881060390 | Erika Parker | Psychologist | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084 | 2015-08-19 |
| 1932587110 | Evan Fradi | Psychiatry & Neurology | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2015-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943181 | Kristen Ghersi Hurrell | Psychologist | 3725 Rochester Rd, Troy, MI 48083-5244 | 2018-08-22 |
| 1225578214 | Casey Michelle Bazarewski | Psychologist | 5115 Babbit Dr, Troy, MI 48085-3448 | 2017-02-24 |
| 1902268402 | Michael Pignatiello | Psychologist | 1314 Windy Hill Ct, Troy, OH 45373-4572 | 2016-03-23 |
| 1932442829 | Jasmin Patel | Psychologist | 416 Evaline Dr, Troy, MI 48085-5509 | 2013-03-29 |
| 1851690721 | Melissa Kandah | Psychologist | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2011-03-17 |
| 1205134525 | Michigan Behavioral Medicine | Psychologist | 625 E Big Beaver Road, Suite 101, Troy, MI 48083 | 2011-03-10 |
| 1710282611 | Marcie Wagner | Psychologist | 4780 Orchard Ridge Dr, Troy, MI 48098-4121 | 2011-01-24 |
| 1093832818 | James Wargel | Psychologist | 200 East Big Beaver Rd, Troy, MI 48083-1208 | 2007-03-25 |
| 1427197409 | James Clifford Kors | Psychologist | 2075 West Big Beaver, Suite 520, Troy, MI 48084 | 2007-02-06 |
| 1801949391 | John Thomas Lynch IIi | Psychologist | 3336 Essex Dr, Troy, MI 48084-2705 | 2007-01-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.