Active NPI
Sara Goburdhun, PHD
- Psychologist
- Livonia, MI
National Provider Identifier
1447235759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301006142
- Practice address
- 14555 Levan Rd
Suite 401
Livonia, MI 48154-5083 - Phone
- (734) 953-0380
- NPI assigned
- Dec 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301006142 | MI | Primary |
Addresses
Primary practice location
14555 Levan Rd
Suite 401
Livonia, MI 48154-5083
Mailing address
14555 Levan Rd
Suite 401
Livonia, MI 48154-5083
Phone (734) 953-0380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680H24703 | Other | MI | BLUE CROSS BLUE SHIELD |
| 6301006142 | Other | MI | MI STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006142 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447235759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14555 LEVAN RD",
"address_2": "SUITE 401",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545083",
"telephone_number": "734-953-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 LEVAN RD",
"address_2": "SUITE 401",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545083",
"telephone_number": "734-953-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBURDHUN",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301006142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "680H24703",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI STATE LICENSE",
"identifier": "6301006142",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.