NPIMap

Organization Active NPI

BMSC Mi LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1639577927
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BMSC MI LLC
Practice address
6117 Charlevoix Woods CT SE
Grand Rapids, MI 49546-8505
Phone
(855) 241-7160
Fax
(954) 324-8354
NPI assigned
Dec 18, 2014
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Ms. Melanie Donohue, LCSWNPI 1477613750
Title
Owner
Phone
(702) 403-0438

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6117 Charlevoix Woods CT SE
Grand Rapids, MI 49546-8505

Mailing address

10204 Bode St Ste B
Plainfield, IL 60585-9813
Phone (855) 241-7160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151020002981 MI Part B Supplier - Clinic/Group Practice 3779892492 Receives reassigned benefits from 9 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory
Tax ID family
BMSC Mi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1639577927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 BODE ST STE B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859813",
            "telephone_number": "855-241-7160",
            "fax_number": "954-324-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 CHARLEVOIX WOODS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468505",
            "telephone_number": "855-241-7160",
            "fax_number": "954-324-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMSC MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-403-0438",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.

Verify at the official NPI Registry.