MARILYN BONEM (NPI# 1659830834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659830834 |
| Entity Type | Individual |
| Full Name | MARILYN BONEM |
| Credential | PH.D. |
| Practice Address |
6 Parklane Blvd Ste 695 Dearborn MI 48126-2776 |
| Mailing Address |
6400 Heaven Dr Howell MI 48855-9409 |
| Practice Telephone | 3132718170 |
| Practice Fax Number | 3132718353 |
| Mailing Telephone | 7344172531 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
6301007264 | MI | Behavioral Health & Social Service Providers |
| Street Address |
6 PARKLANE BLVD STE 695 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780953679 | Apex Behavioral Health Dearborn Pllc | Psychiatry & Neurology | 6 Parklane Blvd Ste 695, Dearborn, MI 48126-2696 | 2011-12-21 |
| 1811327232 | Christy Houston | Social Worker | 6 Parklane Blvd Ste 695, Dearborn, MI 48126-2776 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230282 | Latice Renee Dowdell | Psychologist | 43828 Medea Dr, Clinton Township, MI 48036-1299 | 2019-11-20 |
| 1770062572 | Letisha Erica Smith | Psychologist | 120 N Washington Sq Ste 307, Lansing, MI 48933-1617 | 2018-08-13 |
| 1174019467 | Christie Ladonna Chandler | Psychologist | 8401 Kennedy Cir Unit 3, Warren, MI 48093-2223 | 2018-07-10 |
| 1225546120 | Tavia Turner | Psychologist | 18758 Florence St, Roseville, MI 48066-4816 | 2018-01-14 |
| 1316490758 | Rosa Maria Thomas | Psychologist | 873 Jordan Ln, Milford, MI 48381-1476 | 2016-08-02 |
| 1851756738 | Jerren Weekes-kanu | Psychologist | 41086 Williamsburg Blvd, Canton, MI 48187-3878 | 2015-12-21 |
| 1376924142 | Lois Jean Webster | Psychologist | 15908 Mansfield St, Detroit, MI 48227-1959 | 2015-06-17 |
| 1962538058 | Charlene Crickon Kushler | Psychologist | 1751 Brookshire Ct, Williamston, MI 48895-9372 | 2007-02-26 |
| 1780757559 | Barbara Hofmann | Psychologist | 650 E Big Beaver Rd Ste A, Troy, MI 48083-1432 | 2006-11-17 |
| 1346333937 | Stanley L. Eden | Psychologist | 514 Juniper Dr., Davison, MI 48423 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.