Suzanne Marie Bosek, MA, TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018165 Issued in MI

Practice address

39319 Plymouth Rd
Livonia, MI 48150-1059

Phone

(248) 259-1991

Fax

(248) 286-6062

NPI assigned

Sep 29, 2019

Last updated

Sep 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole Reynolds PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MI
  • NPI 1316306418
  NPD (past)
• Stephanie Williams, PHD, LP, PLLC

  dba Transcendence Behavioral Health

  • Clinical Psychologist
  • Ferndale, MI
  • NPI 1740512979
  NPD (past)

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1235770462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39319 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501059",
            "telephone_number": "248-259-1991",
            "fax_number": "248-286-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39319 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501059",
            "telephone_number": "248-259-1991",
            "fax_number": "248-286-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39319 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501059",
            "country_code": "US",
            "telephone_number": "734-474-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSEK",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "MA, TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6301018165",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne@tbhpsychologists.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "suzanne@tbhpsychologists.com",
            "address_1": "39319 Plymouth Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481501059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Patrick Steven Bos, DO
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• Botsford General Hospital (Comprehensive OBGYN NP)
• Botsford General Hospital
• Botsford General Hosptial

• Clinical Psychologist in Livonia, MI
• Providers in Livonia, 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 29, 2019; 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.