NPIMap

Organization Active NPI

Bominddy Inc.

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1730408477
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301076021 Issued in MI
Legal business name
BOMINDDY INC.
Practice address
32744 Five Mile Rd
Livonia, MI 48154-3046
Phone
(800) 930-0943
Fax
(800) 970-7118
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Amber V Logan
Title
Billing Manager
Phone
(734) 844-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301076021 MI Primary

Addresses

Primary practice location

32744 Five Mile Rd
Livonia, MI 48154-3046

Mailing address

32744 Five Mile Rd
Livonia, MI 48154-3046
Phone (800) 930-0943

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": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1730408477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32744 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543046",
            "telephone_number": "800-930-0943",
            "fax_number": "800-970-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32744 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543046",
            "telephone_number": "800-930-0943",
            "fax_number": "800-970-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMINDDY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "734-844-3155"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301076021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.