Marilyn Bonem, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

6301007264 Issued in MI

Practice address

6 Parklane Blvd Ste 695
Dearborn, MI 48126-2776

Phone

(313) 271-8170

Fax

(313) 271-8353

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Apex Behavioral Health Dearborn PLLCGroup PAC ID 7911165949, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.67 of 100Reported as group

Quality

99.29

Improvement activities

40

Cost

87.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Apex Behavioral Health Dearborn PLLC

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1467732644
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1659830834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 HEAVEN DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488559409",
            "telephone_number": "734-417-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD STE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262776",
            "telephone_number": "313-271-8170",
            "fax_number": "313-271-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONEM",
        "first_name": "MARILYN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MI",
            "license": "6301007264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Jean Bommarito, MD
• Kathryn Elizabeth Bommarito, DPT,PT
• Gregg Stuart Bonamici, DDS
• Dolly Bondarian, M.D.
• Joseph Maurice Bondi, DO
• Elizabeth Bonham
• Tyan Lashay Bonner
• Ahmed Boomrod, PHARMD
• Boriboon Pediatrics
• Kingkhan Boriboon, M.D.

• Health Service Psychologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Health Service Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.