BONNIE PARKER PSYD LLC (NPI# 1588085096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588085096 |
Entity Type | Organization |
Organization Name | BONNIE PARKER PSYD LLC |
Practice Address |
8864 Big Lake Rd Clarkston MI 48346-1010 |
Practice Telephone | 2489229222 |
Practice Fax Number | 2489229222 |
Mailing Telephone | 2489229222 |
Mailing Fax Number | 2489229222 |
Enumeration Date | 2013-12-31 |
Last Update Date | 2013-12-31 |
Authorized Official Name | DR. BONNIE JO PARKER (PSYCHOLOGIST) |
Authorized Official Telephone | 2489229222 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 6301013183 | MI | Agencies |
Street Address |
8864 BIG LAKE RD |
City | CLARKSTON |
State | MI |
Zip Code | 48346-1010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
Find all providers in zip 48346 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578014627 | Progressive Lifestyle Inc | Community/Behavioral Health | 6969 Tappon Dr, Clarkston, MI 48346-2631 | 2016-10-24 |
1457802506 | Progressive Lifestyle Inc | Community/Behavioral Health | 8118 Fawn Valley Dr, Clarkston, MI 48348-4542 | 2016-10-24 |
1285185330 | Progressive Lifestyle Inc | Community/Behavioral Health | 5175 Timber Ridge Trl, Clarkston, MI 48346-3854 | 2016-10-24 |
1801347158 | Progressive Lifestyle Inc | Community/Behavioral Health | 6635 Laurelton, Clarkston, MI 48346-2304 | 2016-10-21 |
1982155644 | Progressive Lifestyle Inc | Community/Behavioral Health | 6463 Church St, Clarkston, MI 48346-2121 | 2016-10-18 |
1467903112 | Progressive Lifestyles Inc | Community/Behavioral Health | 8665 N Eston Rd, Clarkston, MI 48348-3514 | 2016-10-18 |
1457802118 | Progressive Lifestyle Inc | Community/Behavioral Health | 8300 Oak Hill Rd, Clarkston, MI 48348-1031 | 2016-10-18 |
1194176503 | Melissa Reich | Community/Behavioral Health | 6640 Pine Knob Rd, Clarkston, MI 48348-5137 | 2016-06-27 |
1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
1194115840 | Resolution Counseling | Community/Behavioral Health | 5840 Lorac Dr Ste 5, Clarkston, MI 48346-2915 | 2015-02-03 |
Find all providers in CLARKSTON |
Please comment or provide details below to improve the information on BONNIE PARKER PSYD LLC.
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.