Individual provider Active NPI

Anna Jemima Bonsrah

  • Psychiatric/Mental Health Nurse Practitioner
  • Clawson, MI
National Provider Identifier
1063324473
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704378618 Issued in MI
Practice address
53 W Maple Rd
Clawson, MI 48017-1109
Phone
(248) 629-6084
Fax
(248) 629-6070
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704378618 MI Primary

Addresses

Primary practice location

53 W Maple Rd
Clawson, MI 48017-1109

Mailing address

2534 Patrick Henry St
Auburn Hills, MI 48326-2325
Phone (248) 707-9965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1063324473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 PATRICK HENRY ST",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262325",
            "telephone_number": "248-707-9965",
            "fax_number": "248-707-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W MAPLE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171109",
            "telephone_number": "248-629-6084",
            "fax_number": "248-629-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSRAH",
        "first_name": "ANNA",
        "middle_name": "JEMIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704378618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.