Organization Active NPI

Michigan Family Therapy, PLLC

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1013456938
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092741 Issued in MI
Legal business name
MICHIGAN FAMILY THERAPY, PLLC
Practice address
32841 Middlebelt Rd
Suite 405
Farmington Hills, MI 48334-1771
Phone
(248) 733-4899
Fax
(248) 733-4208
NPI assigned
Feb 13, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Brooke Bendix, LMSW
Title
Owner
Phone
(248) 229-1198

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801092741 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

32841 Middlebelt Rd
Suite 405
Farmington Hills, MI 48334-1771

Mailing address

32841 Middlebelt Rd
Suite 405
Farmington Hills, MI 48334-1771
Phone (248) 733-4899

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2017.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1013456938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32841 MIDDLEBELT RD",
            "address_2": "SUITE 405",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341771",
            "telephone_number": "248-733-4899",
            "fax_number": "248-733-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32841 MIDDLEBELT RD",
            "address_2": "SUITE 405",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341771",
            "telephone_number": "248-733-4899",
            "fax_number": "248-733-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BENDIX",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-229-1198",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.