Body-Based Psychotherapy of Metro Detroit, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BODY-BASED PSYCHOTHERAPY OF METRO DETROIT, PLLC

Practice address

215 Ann Arbor Rd W Ste 206
Plymouth, MI 48170-2251

Phone

(248) 561-6208

Fax

(248) 398-4451

NPI assigned

May 30, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Lynn A Lombardo, LLP

Title

Managing Member/Owner

Phone

(248) 561-6208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1184248759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 CUMMINGS AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721081",
            "telephone_number": "248-561-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ANN ARBOR RD W STE 206",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702251",
            "telephone_number": "248-561-6208",
            "fax_number": "248-398-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY-BASED PSYCHOTHERAPY OF METRO DETROIT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "248-561-6208",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Blosser
• Christine Blume
• Jacqueline Boboescu, PMHNP-BC
• Shaina Bodenhofer
• Christopher Bodnovits
• Lauren Elizabeth Boesen
• Jennifer R Bogg, LMSW
• Richard Emmett Boggs, LPC
• Zachary Bohl
• Brittany Nicole Boineau, MA, BCBA

• Clinical Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.