Active NPI
Ann Marie Bradley Enterprises Inc
- Community/Behavioral Health Agency
- Plymouth, MI
National Provider Identifier
1447510060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- AB059736
- Legal business name
- ANN MARIE BRADLEY ENTERPRISES INC
- Practice address
- 190 N Main St
Plymouth, MI 48170-1236 - Phone
- (734) 416-3341
- Fax
- (734) 416-3345
- NPI assigned
- May 17, 2012
- 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
- Shelley Taglione, BILLING CEO
- Title
- Billing Ceo
- Phone
- (734) 414-0754
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | AB059736 | MI | Primary |
Addresses
Primary practice location
190 N Main St
Plymouth, MI 48170-1236
Mailing address
190 N Main St
Plymouth, MI 48170-1236
Phone (734) 416-3341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008911330 | Other | MI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
409 Plymouth Rd
Plymouth, MI 48170
Phone (734) 306-6263
190 N Main St
Plymouth, MI 48170
Phone (734) 416-3341
477 S Main St
Plymouth, MI 48170
Phone (734) 416-3341
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Plymouth, MI
- NPI 1093862617
-
- Clinical Social Worker
- Plymouth, MI
- NPI 1063519601
-
- Counselor
- Plymouth, MI
- NPI 1033428115
-
- Clinical Social Worker
- Plymouth, MI
- NPI 1942358122
-
- Social Worker
- Plymouth, MI
- NPI 1245569185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337212800000",
"number": "1447510060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 N MAIN ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701236",
"telephone_number": "734-416-3341",
"fax_number": "734-416-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 N MAIN ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701236",
"telephone_number": "734-416-3341",
"fax_number": "734-416-3345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANN MARIE BRADLEY ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A",
"authorized_official_last_name": "TAGLIONE",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "BILLING CEO",
"authorized_official_telephone_number": "734-414-0754",
"authorized_official_credential": "BILLING CEO"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "AB059736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8008911330",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.