Active NPI
Bozena Teresa Strak-Warren, FLP
- Psychologist
- Lansing, MI
National Provider Identifier
1104883958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301009784
- Practice address
- 812 E Jolly Rd
Lansing, MI 48910-6818 - Phone
- (517) 346-8265
- Fax
- (517) 346-8291
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 6301009784 | MI | Primary |
Addresses
Primary practice location
812 E Jolly Rd
Lansing, MI 48910-6818
Mailing address
812 E Jolly Rd Ste 311
Lansing, MI 48910-6821
Phone (517) 346-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lansing, MI
- NPI 1265483457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1104883958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 E JOLLY RD STE 311",
"city": "LANSING",
"state": "MI",
"postal_code": "489106821",
"telephone_number": "517-346-8410",
"fax_number": "517-346-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 E JOLLY RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489106818",
"telephone_number": "517-346-8265",
"fax_number": "517-346-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAK-WARREN",
"first_name": "BOZENA",
"middle_name": "TERESA",
"credential": "FLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301009784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.