Individual provider Active NPI

Michelle Terese Nabozny

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
National Provider Identifier
1770350308
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Practice address
29510 Fountain Blvd Apt 1101
Farmington Hills, MI 48331-5809
Phone
(734) 612-9041
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MI Primary

Addresses

Primary practice location

29510 Fountain Blvd Apt 1101
Farmington Hills, MI 48331-5809

Mailing address

29510 Fountain Blvd Apt 1101
Farmington Hills, MI 48331-5809
Phone (734) 612-9041

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1770350308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29510 FOUNTAIN BLVD APT 1101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315809",
            "telephone_number": "734-612-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29510 FOUNTAIN BLVD APT 1101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315809",
            "telephone_number": "734-612-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABOZNY",
        "first_name": "MICHELLE",
        "middle_name": "TERESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.