NPIMap

Organization Active NPI

Progressive Guidance Center of Monroe PLLC

  • Specialist
  • Monroe, MI
National Provider Identifier
1508892951
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301073530 Issued in MI
Legal business name
PROGRESSIVE GUIDANCE CENTER OF MONROE PLLC
Practice address
14930 Laplaisance Rd
Suite 103
Monroe, MI 48161-3880
Phone
(734) 241-4851
Fax
(734) 241-6552
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Mubeen Memon, M.D.NPI 1568440774
Title
Owner
Phone
(734) 241-4851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301073530 MI Primary

Addresses

Primary practice location

14930 Laplaisance Rd
Suite 103
Monroe, MI 48161-3880

Mailing address

14930 Laplaisance Rd
Suite 103
Monroe, MI 48161-3880
Phone (734) 241-4851

National Provider Directory

National Provider Directory

Locations

14930 Laplaisance Rd
Ste 103
Monroe, MI 48161

14930 Laplaisance Rd
Ste 116
Monroe, MI 48161
Phone (734) 242-4422

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1508892951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD",
            "address_2": "SUITE 103",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613880",
            "telephone_number": "734-241-4851",
            "fax_number": "734-241-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD",
            "address_2": "SUITE 103",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613880",
            "telephone_number": "734-241-4851",
            "fax_number": "734-241-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE GUIDANCE CENTER OF MONROE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "MUBEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-241-4851",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301073530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.