Active NPI
Susan Bresky
- Occupational Therapist
- Bingham Farms, MI
National Provider Identifier
1649638503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201004653
- Practice address
- 30150 Telegraph Rd
Suite 255
Bingham Farms, MI 48025-4519 - Phone
- (278) 203-9107
- Fax
- (248) 203-7117
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201004653 | MI | Primary |
Addresses
Primary practice location
30150 Telegraph Rd
Suite 255
Bingham Farms, MI 48025-4519
Mailing address
30150 Telegraph Rd
Suite 255
Bingham Farms, MI 48025-4519
Phone (278) 203-9107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Bloomfield Center for Assessment, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Bloomfield Hills, MI
- NPI 1427468404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1649638503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30150 TELEGRAPH RD",
"address_2": "SUITE 255",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254519",
"telephone_number": "278-203-9107",
"fax_number": "248-203-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30150 TELEGRAPH RD",
"address_2": "SUITE 255",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254519",
"telephone_number": "278-203-9107",
"fax_number": "248-203-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESKY",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201004653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.