Active NPI
Sonja Bastanin Djapic, TLLP
- Psychologist
- Troy, MI
National Provider Identifier
1013484591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301017357
- Practice address
- 888 W Big Beaver Rd
Troy, MI 48084-4736 - Phone
- (248) 244-8644
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301017357 | MI | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd
Troy, MI 48084-4736
Mailing address
2933 Peterboro Rd
West Bloomfield, MI 48323-3252
Phone (248) 550-3176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301017357 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1013484591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 PETERBORO RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233252",
"telephone_number": "248-550-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480844736",
"telephone_number": "248-244-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTANIN DJAPIC",
"first_name": "SONJA",
"credential": "TLLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301017357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.