Active NPI
Binh Hoa Pham, PHD, LMFT
- Marriage & Family Therapist
- Inkster, MI
National Provider Identifier
1780838482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101006467
- Practice address
- 2700 Hamlin Blvd
Inkster, MI 48141-2206 - Phone
- (313) 561-5100
- Fax
- (313) 565-0309
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006467 | MI | Primary |
Addresses
Primary practice location
2700 Hamlin Blvd
Inkster, MI 48141-2206
Mailing address
2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone (313) 561-5100
Other practice location 1
1050 36th St SE Ste 400
Grand Rapids, MI 49508-5579
Phone (616) 965-8093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780838482 | Medicaid | MI |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101006467 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1780838482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 HAMLIN BLVD",
"city": "INKSTER",
"state": "MI",
"postal_code": "481412206",
"telephone_number": "313-561-5100",
"fax_number": "313-565-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HAMLIN BLVD",
"city": "INKSTER",
"state": "MI",
"postal_code": "481412206",
"telephone_number": "313-561-5100",
"fax_number": "313-565-0309"
}
],
"practiceLocations": [
{
"address_1": "1050 36th St SE Ste 400",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495085579",
"country_code": "US",
"telephone_number": "616-965-8093",
"fax_number": "616-284-3263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "BINH",
"middle_name": "HOA",
"credential": "PHD, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780838482",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inkster, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.