Golden Family Practice PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

510108586 Issued in MI

Legal business name

GOLDEN FAMILY PRACTICE PLLC

Practice address

23463 E Scott Blvd
Clinton Township, MI 48036-3155

Phone

(734) 945-0482

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brandi Nicole Basket, DO

Title

Owner

Phone

(734) 945-0482

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1346690245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23463 E SCOTT BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363155",
            "telephone_number": "734-945-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23463 E SCOTT BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363155",
            "telephone_number": "734-945-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "BASKET",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-945-0482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "510108586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437478070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Chan-How Go, PA-C
• Latfiah Gobah, LMSW
• Shane Daryl Gober, D.O.
• Wendy Anne Goetz, LLP
• Mary-Kate Goff, LLPC
• Golden Years in Home Care LLC
• Amanda Renee Golder, LLBSW
• Grecia I Gomez
• Catherine Kay Gonzales
• Taylor Gonzales

• Primary Care Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.