BIO-MED BEHAVIORAL HEALTHCARE, INC. (NPI# 1417099417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417099417 |
| Entity Type | Organization |
| Organization Name | BIO-MED BEHAVIORAL HEALTHCARE, INC. |
| Practice Address |
31581 Gratiot Ave Roseville MI 48066-4528 |
| Practice Telephone | 5867834802 |
| Practice Fax Number | 5862186602 |
| Mailing Telephone | 5867834802 |
| Mailing Fax Number | 5862186602 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | MS. SHARON GLENDA MCRAE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5867834802 |
| Authorized Official Credential | MSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
31581 GRATIOT AVE |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855784 | Marilyn Lousie Taylor. | Counselor | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2020-03-04 |
| 1073166427 | Ronald S Goheen | Counselor | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2019-07-24 |
| 1154817997 | Marion Deandrea Davis | Social Worker | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2018-07-05 |
| 1790285443 | Kristina Angela Fronrath | Social Worker | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2018-02-20 |
| 1588162044 | Kaitlin Patricia Leonard-murali | Counselor | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2018-01-30 |
| 1659889806 | Veronica Mary Abbo | Physician Assistant | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2018-01-22 |
| 1306352927 | Bonnie K Cetlinski | Counselor | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2017-12-19 |
| 1174975031 | Lisa Mader | Social Worker | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2016-07-05 |
| 1457703324 | Carolyn Kimble | Counselor | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2016-07-05 |
| 1134592702 | Bio-med Behavioral Health Care | Clinic/Center | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326490475 | Sasaki Medical LLC | Family Medicine | 2233 Hamline Ave N, Ste 110, Roseville, MN 55113-5009 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836444 | White Lake Urgent Care | Family Medicine | 9178 Highland Rd Ste 1a, White Lake, MI 48386-4619 | 2019-08-18 |
| 1669665154 | Daniel A. Schwarz | Family Medicine | 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075-2653 | 2007-08-20 |
| 1134335359 | Jerry Avrum Appel | Family Medicine | 1720 South Hill Blvd, Bloomfield Township, MI 48304-1135 | 2007-05-15 |
| 1457469330 | Eric N. Coffman | Family Medicine | 27550 Joy Rd, Livonia, MI 48150-4145 | 2006-08-29 |
| 1598703621 | Carl Woodrow Christensen | Family Medicine | 4870 W Clark Rd Ste 201, Ypsilanti, MI 48197-1104 | 2006-06-02 |
| 1265498059 | Mark Allen Menestrina | Family Medicine | 12851 E Grand River, Brighton Hospital, Brighton, MI 48116-8596 | 2006-04-21 |
| 1790745966 | Douglas Lawrence Marsh | Family Medicine | 18590 Allen Rd, Melvindale, MI 48122-1516 | 2006-03-23 |
| 1952377566 | Bruce Henry Baker | Family Medicine | 3210 Eagle Run Dr, Suite 200, Grand Rapids, MI 49525 | 2006-02-23 |
| 1689275026 | Lindsey Ruth Mitchell | Family Medicine | 28477 Hoover Rd, Warren, MI 48093-5400 | 2020-11-03 |
| 1568084333 | Great Lakes Addiction Recovery Services Pllc | Family Medicine | 142 E Maumee St, Adrian, MI 49221-2735 | 2020-05-14 |
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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.