Active NPI
Lindsey Bunio, TECH
- Psychologist
- Dearborn, MI
National Provider Identifier
1326453382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301017908
- Practice address
- 3101 S Gulley Rd Ste F-G
Dearborn, MI 48124-4406 - Phone
- (734) 407-2500
- NPI assigned
- Jun 27, 2014
- Last updated
- Dec 10, 2019
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Psychologist | 103T00000X | 6301017908 | MI | Primary |
Addresses
Primary practice location
3101 S Gulley Rd Ste F-G
Dearborn, MI 48124-4406
Mailing address
3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406
Phone (734) 407-2500
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 |
|---|---|---|---|
| 6301017908 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Futures Healthcore, LLC | Psychologist | Current | Accepting new patients |
Locations
136 William St
Springfield, MA 01105
Phone (413) 303-9084
3101 S Gulley Rd
Ste F
Dearborn, MI 48124
Phone (734) 407-2500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1326453382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 S GULLEY RD STE F",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244406",
"telephone_number": "734-407-2500",
"fax_number": "313-792-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 S GULLEY RD STE F-G",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244406",
"telephone_number": "734-407-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNIO",
"first_name": "LINDSEY",
"credential": "TECH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301017908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.