Joseph Bavonese PHD PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6301007576 Issued in MI

Legal business name

JOSEPH BAVONESE PHD PC

Practice address

27172 Woodward Ave
Suite Number 200
Royal Oak, MI 48067-0963

Phone

(248) 546-0407

Fax

(248) 548-1925

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joe Bavonese, PH.D.

Title

Director

Phone

(248) 546-0407

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Joseph Bavonese PHD PC

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1386108512
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Kevin Ford, MSW

  • Social Worker
  • Flint, MI
  • NPI 1861433872
  NPD (past)
• Tiffany Lynn Goles, MSW, LMSW

  • Clinical Social Worker
  • Monument, CO
  • NPI 1942620612
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1174778682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "SUITE NUMBER 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "SUITE NUMBER 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BAVONESE PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "BAVONESE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-546-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301007576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Jones, PH.D.
• Stacy L Jones, APRN
• Trenda Jones
• Vanna Alisha Jones, LLMSW
• Kyle R. Jonna
• Joseph Bavonese PHD PC
• Denise Joseph, PH.D.
• Steven Matthew Joseph, MD
• Michael C Josephson, LLP
• Rudra Joshi, MD

• Mental Health Counselor in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.