Organization Active NPI

Randall Badgerow

  • Community/Behavioral Health Agency
  • Bay City, MI
National Provider Identifier
1629430384
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-0450 Issued in MI
Legal business name
RANDALL BADGEROW
Practice address
613 30TH St
Bay City, MI 48708-8529
Phone
(989) 316-5160
Fax
(989) 671-9108
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Mr. Randall Lee Badgerow, BS, CADC-MNPI 1255936415
Title
Therapist
Phone
(989) 316-5160

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
Community/Behavioral Health Agency 251S00000X 1-0450 MI Primary

Addresses

Primary practice location

613 30TH St
Bay City, MI 48708-8529

Mailing address

613 30TH St
Bay City, MI 48708-8529
Phone (989) 316-5160

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1629430384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 30TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487088529",
            "telephone_number": "989-316-5160",
            "fax_number": "989-671-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 30TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487088529",
            "telephone_number": "989-316-5160",
            "fax_number": "989-671-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL BADGEROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "BADGEROW",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "989-316-5160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, CADC-M"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "1-0450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.