REGINA BOMAR (NPI# 1053509141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053509141 |
| Entity Type | Individual |
| Full Name | REGINA BOMAR |
| Practice Address |
23640 Oak Glen Dr Southfield MI 48033-3497 |
| Practice Telephone | 2484791007 |
| Mailing Telephone | 2484791007 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401007471 | MI | Behavioral Health & Social Service Providers |
| Street Address |
23640 OAK GLEN DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1841803780 | Alisa Clemons | Counselor | 23597 Plum Hollow St, Southfield, MI 48033-3283 | 2020-08-30 |
| 1033770136 | Pamela Denise Nelson | Counselor | 24901 Northwestern Hwy Ste 314b, Southfield, MI 48075-2207 | 2019-06-28 |
| 1851955652 | Bettering Lives Counseling | Counselor | 29420 Candlewood Ln, Southfield, MI 48076-1898 | 2019-04-26 |
| 1437611407 | Companion Plus Care | Counselor | 15700 W 10 Mile Rd Ste 110, Southfield, MI 48075-2100 | 2019-04-01 |
| 1952862153 | Tonja Y Lawrence | Counselor | Uzani Counseling and Consulting, LLPc, 29556 Southfield Rd, Suite 200, Southfield, MI 48076-4807 | 2019-03-29 |
| 1831654326 | Introspective Counseling, LLC | Counselor | 24100 Southfield Rd Ste 204, Southfield, MI 48075-2851 | 2019-02-08 |
| 1528550381 | Pamela Mosley-jenkins | Counselor | 29556 Southfield Rd Ste 200, Southfield, MI 48076-2021 | 2018-06-06 |
| 1437640687 | The Source Counseling, Case Management and Consultation | Counselor | 29277 Southfield Rd Ste C, Southfield, MI 48076-1922 | 2018-05-23 |
| 1831627819 | La Tosha Lymon | Counselor | 24901 Northwestern Hwy Ste 600, Southfield, MI 48075-2210 | 2017-06-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on REGINA BOMAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.