MRS. PAM SEILER BOURDGANIS (NPI# 1104205681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104205681 |
| Entity Type | Individual |
| Full Name | MRS. PAM SEILER BOURDGANIS |
| Credential | LBSW, QIDP |
| Practice Address |
19316 Fairlane Ct Livonia MI 48152-4056 |
| Practice Telephone | 2489216210 |
| Mailing Telephone | 2489216210 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 6802072956 | MI | Other Service Providers |
| Street Address |
19316 FAIRLANE CT |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-4056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187795 | April N Cornell | Case Manager/Care Coordinator | 35914 Ann Arbor Trl # 107, Livonia, MI 48150-3556 | 2020-06-03 |
| 1497139281 | Babybumpers | Case Manager/Care Coordinator | 29600 Pickford St, Livonia, MI 48152-3464 | 2015-07-13 |
| 1619375672 | Mallory Mclean | Case Manager/Care Coordinator | 9163 Danzig St, Livonia, MI 48150-3903 | 2014-12-08 |
| 1235744285 | Annette Hayes | Case Manager/Care Coordinator | 29701 6 Mile Rd Ste 150a, Livonia, MI 48152-8604 | 2020-09-15 |
| 1063027860 | Shanique Iverson | Case Manager/Care Coordinator | 29701 6 Mile Rd Ste 150a, Livonia, MI 48152-8604 | 2020-09-09 |
| 1164056867 | Tamia Tonie Peterson | Case Manager/Care Coordinator | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-03-03 |
| 1619500162 | Tishanna Maya Taylor | Case Manager/Care Coordinator | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-02-12 |
| 1063927192 | Sylvia Williams | Case Manager/Care Coordinator | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-12-12 |
| 1144734690 | Lee Efferson Mccloud | Case Manager/Care Coordinator | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2017-11-20 |
| 1225551682 | Torlisa Wright | Case Manager/Care Coordinator | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-07-18 |
| Find all providers in LIVONIA | ||||
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| 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.