Active NPI
Mary Padalino
- Other Technician
- Harper Woods, MI
National Provider Identifier
1881099661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- P345587461969
- Practice address
- 20955 Bournemouth St
Harper Woods, MI 48225-2301 - Phone
- (313) 423-6106
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | P345587461969 | MI | Primary |
Addresses
Primary practice location
20955 Bournemouth St
Harper Woods, MI 48225-2301
Mailing address
35640 W Michigan Ave
Wayne, MI 48184-1628
Phone (734) 729-7792
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P345587461969 | MI | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starr Commonwealth | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Detroit, MI
- NPI 1982086468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1881099661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35640 W MICHIGAN AVE",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841628",
"telephone_number": "734-729-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20955 BOURNEMOUTH ST",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482252301",
"telephone_number": "313-423-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADALINO",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "P345587461969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.