Joseph Bavonese PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JOSEPH BAVONESE PHD PC

Practice address

27172 Woodward Ave Ste 200
Royal Oak, MI 48067-0965

Phone

(248) 546-0407

NPI assigned

Jan 22, 2019

Organization subpart

Yes

Parent organization

JOSEPH BAVONESE PHD PCAs reported in NPPES

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

Authorized official

Name

Joe Bavonese, PHD

Title

Owner

Phone

(248) 546-0407

Specialties & licenses 1

Addresses

Other names 1

• Relationship Institute Other name

Part of

Joseph Bavonese PHD PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Joseph Bavonese PHD PC

  • Mental Health Counselor
  • Royal Oak, MI
  • NPI 1174778682
  NPPES parent name

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1386108512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670965",
            "telephone_number": "248-546-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670965",
            "telephone_number": "248-546-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BAVONESE PHD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH BAVONESE PHD PC",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "BAVONESE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-546-0407",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relationship Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacy L Jones, APRN
• Trenda Jones
• Vanna Alisha Jones, LLMSW
• Kyle R. Jonna
• Joseph Bavonese PHD PC
• Denise Joseph, PH.D.
• Steven Matthew Joseph, MD
• Michael C Josephson, LLP
• Rudra Joshi, MD
• Vaidehi Joshi

• Clinical Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.