Organization Active NPI

Authentic, Inc.

  • Case Management Agency
  • Bingham Farms, MI
National Provider Identifier
1407446826
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AUTHENTIC, INC.
Practice address
30800 Telegraph Rd Ste 4775
Bingham Farms, MI 48025-4536
Phone
(248) 469-8811
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Sonny Lacey
Title
Chief Compliance Officer
Phone
(469) 360-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

30800 Telegraph Rd Ste 4775
Bingham Farms, MI 48025-4536

Mailing address

30800 Telegraph Rd Ste 4775
Bingham Farms, MI 48025-4536

National Provider Directory

National Provider Directory

Locations

30800 Telegraph Rd
Ste 4775
Bingham Farms, MI 48025
Phone (248) 469-8811

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1407446826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 4775",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 4775",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254536",
            "telephone_number": "248-469-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-360-3500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.