Michael Bombka LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MH7297 Issued in FL

Legal business name

MICHAEL BOMBKA LLC

Practice address

2605 W Lake Mary Blvd
Lake Mary, FL 32746-3568

Phone

(407) 463-4907

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Allan BombkaNPI 1396881702

Title

President

Phone

(407) 463-4907

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Allan Bombka, M.A., LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1396881702
  NPD (past) Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1669913430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HOMESTEAD AVE",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133816",
            "telephone_number": "407-463-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463568",
            "telephone_number": "407-463-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BOMBKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "BOMBKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-463-4907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MH7297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R Merzenich, M.D.
• Taylor Jasmine Mesmer
• Pranali Mhadolkar
• Michael a. Beim, D.D.S., P.a.
• Michael a. Warner, M.D., P.C.
• Ashley Michel
• Michelle Bargfrede DMD PA
• K'Neesha Mickey, LMHC
• Keith William Miessau, ATC, LAT
• Erin P Mikalsen, RBT

• All providers in Lake Mary, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.