Organization Active NPI

Monarch Behavioral Health, PLLC

  • Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1497272496
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301016726 Issued in MI
Legal business name
MONARCH BEHAVIORAL HEALTH, PLLC
Practice address
35980 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-0903
Phone
(248) 220-3332
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Julie Braciszewski, PHD
Title
Sole Member
Phone
(248) 220-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301016726 MI Primary

Addresses

Primary practice location

35980 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-0903

Mailing address

35980 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-0903
Phone (248) 220-3332

National Provider Directory

National Provider Directory

Locations

35980 Woodward Ave
Ste 100
Bloomfield Hills, MI 48304
Phone (248) 220-3332

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497272496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35980 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040903",
            "telephone_number": "248-220-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35980 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040903",
            "telephone_number": "248-220-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRACISZEWSKI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-220-3332",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.