SHELLEY GALASSO BONANNO & ASSOCIATES, PLLC (NPI# 1154821783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154821783 |
| Entity Type | Organization |
| Organization Name | SHELLEY GALASSO BONANNO & ASSOCIATES, PLLC |
| Practice Address |
1019 Haynes St Birmingham MI 48009-6779 |
| Practice Telephone | 5869174001 |
| Practice Fax Number | 5864125836 |
| Mailing Telephone | 5869174001 |
| Mailing Fax Number | 5864125836 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MS. SHELLEY BONANNO (OWNER) |
| Authorized Official Telephone | 5869174001 |
| Authorized Official Credential | LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11111 Hall Rd Ste 201, Utica, MI 483175799 | 5869075734 |
| Street Address |
1019 HAYNES ST |
| City | BIRMINGHAM |
| State | MI |
| Zip Code | 48009-6779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972620854 | Mark Lawrence Silverman | Psychiatry & Neurology | 1019 Haynes St, Birmingham, MI 48009-6779 | 2007-03-23 |
| 1265623292 | Imagine Health, P.C. | Psychiatry & Neurology | 1019 Haynes St, Birmingham, MI 48009-6779 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1912374695 | Valerie Kim Kaplansky | Counselor | 300 E. Maple Road, 315, Birmingham, MI 48009 | 2015-08-28 |
| 1578956348 | Nancy Jane Naski | Recreation Therapist | 623 Hanna St, Birmingham, MI 48009 | 2015-03-18 |
| 1619370236 | Caitlin Stoltman | Recreation Therapist | 1669 W. Maple Rd., Far, Birmingham, MI 48009 | 2014-09-28 |
| 1295140770 | Lauren Elizabeth Perlin | Obstetrics & Gynecology | 35046 Woodward Ave Ste 100, Birmingham, MI 48009 | 2014-06-24 |
| 1235560764 | Better Life Learning | Community/Behavioral Health | 33717 Woodward Ave #253, Birmingham, MI 48009 | 2013-12-10 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1689942021 | Brian Connolly Md PC | Psychiatry & Neurology | 189 Townsend, Suite 300, Birmingham, MI 48009 | 2011-12-13 |
| 1619204187 | Dr. Lori PC | Dermatology | 353 South Old Woodward Ave, Birmingham, MI 48009 | 2009-11-04 |
| 1033348453 | Jason Eric Gregory | Music Therapist | 1669 West Maple, Birmingham, MI 48009 | 2009-07-07 |
| Find all providers in zip 48009 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013472000 | Better Sex Institute Pllc | Psychologist | 999 Haynes St Ste 300, Birmingham, MI 48009-6775 | 2019-02-05 |
| 1639592785 | Elizabeth Jacqueline Tupling | Psychologist | 2006 Hazel St, Birmingham, MI 48009-6807 | 2014-01-27 |
| 1912073354 | Adult & Adolescent Psychology Associates, LLC | Psychologist | 1800 Providence Park, Suite 250, Birmingham, AL 35242-4697 | 2006-11-28 |
| 1912479577 | Thrive Ada Services | Psychologist | 1034 23rd St S Ste 102, Birmingham, AL 35205-2462 | 2018-12-20 |
| 1629397104 | Catherine Clayton Prince | Psychologist | 1200 Corporate Dr, Suite 125, Birmingham, AL 35242-2941 | 2010-05-24 |
| 1316959794 | Personal Relationships, Inc. | Psychologist | 1310 Alford Ave, Suite 201, Birmingham, AL 35226-3199 | 2006-08-13 |
| 1841246592 | Kimberly Elizabeth Walsh | Psychologist | 2868 Acton Road, Birmingham, AL 35243 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504002 | Being Centered LLC | Psychologist | 716 Amity St, Lowell, MI 49331-1388 | 2020-10-02 |
| 1972115251 | Transformative Counseling Services | Psychologist | 8965 Lenter Dr Se, Caledonia, MI 49316-7793 | 2020-08-19 |
| 1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
| 1790305068 | Kole Mason | Psychologist | 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 | 2020-04-16 |
| 1881229151 | Shannon Sugarman Psychotherapy | Psychologist | 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 | 2020-03-07 |
| 1376178020 | Pro-active Counseling LLC | Psychologist | 1410 84th St Sw, Byron Center, MI 49315-9344 | 2020-03-03 |
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
| 1134761398 | Mackenzie Mercer | Psychologist | 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 | 2019-10-09 |
| 1568022465 | Grace Yensch | Psychologist | 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 48009 |
Please comment or provide details below to improve the information on SHELLEY GALASSO BONANNO & ASSOCIATES, PLLC.
| 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.