Dorella Bond, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012697 Issued in MI

Practice address

667 Kuehnle St
Ann Arbor, MI 48103-2608

Phone

(734) 660-4828

Fax

(734) 994-9722

NPI assigned

Jul 1, 2006

Last updated

Aug 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossroads Group, LLC

  • Psychologist
  • Ann Arbor, MI
  • NPI 1023116480
  Authorized official Same address or phone
• Northbrook Psychological Clinic PLC

  • Psychologist
  • Novi, MI
  • NPI 1841279288
  NPD (past)
• Bobbi Ebsen Psychotherapy LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1689012379
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1780613885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KUEHNLE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032608",
            "telephone_number": "734-660-4828",
            "fax_number": "734-994-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 KUEHNLE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032608",
            "telephone_number": "734-660-4828",
            "fax_number": "734-994-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "DORELLA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF CT",
            "identifier": "060001850CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MI",
            "identifier": "680F332310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A Bommarito, MD
• Nicole Mia Bonacorso
• Claudia B. Bonar, RN
• Erin Elizabeth Bonar, PHD
• Kristy Jo Bonasso
• Eileen E Bond, MSW
• Martin L Bond, PA
• Tara Bond
• Alicia Marie Bonderson, DPT, CLT
• Kerry L Bondy, PA

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.