Active NPI
Magdalini Bis
- Psychologist
- Warren, MI
National Provider Identifier
1194294520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301010959
- Practice address
- 31150 Hoover Rd
Warren, MI 48093-7618 - Phone
- (586) 983-3666
- NPI assigned
- Nov 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401007196 | MI | |
| Psychologist | 103T00000X | 6301010959 | MI | Primary |
Addresses
Primary practice location
31150 Hoover Rd
Warren, MI 48093-7618
Mailing address
31150 Hoover Rd
Warren, MI 48093-7618
Phone (586) 983-3666
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 |
|---|---|---|---|
| 6401007196 | MI | MD | Professional Counselor |
| 6301010959 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1194294520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31150 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480937618",
"telephone_number": "586-983-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31150 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480937618",
"telephone_number": "586-983-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIS",
"first_name": "MAGDALINI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401007196",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301010959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.