Active NPI
Authentic, Inc.
- Case Management Agency
- Bingham Farms, MI
National Provider Identifier
1407446826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.