SUZANNE MARIE BOSEK (NPI# 1235770462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235770462 |
| Entity Type | Individual |
| Full Name | SUZANNE MARIE BOSEK |
| Credential | MA, TLLP |
| Practice Address |
39319 Plymouth Rd Livonia MI 48150-1059 |
| Practice Telephone | 2482591991 |
| Practice Fax Number | 2482866062 |
| Mailing Telephone | 2482591991 |
| Mailing Fax Number | 2482866062 |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301018165 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE NUMBER | 6301018165 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39319 Plymouth Rd, Livonia, MI 481501059 | 7344749021 |
| Street Address |
39319 PLYMOUTH RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538586078 | The Spark Center for Autism | Behavioral Analyst | 39319 Plymouth Rd, Livonia, MI 48150-1059 | 2014-03-22 |
| 1720638158 | Amanda Lyberg | Psychologist | 39319 Plymouth Rd, Livonia, MI 48150-1059 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851868996 | Trisia Lea Baumgartner | Psychologist | 39319 Plymouth Rd Ste 2&6, Livonia, MI 48150-1059 | 2018-10-26 |
| 1649762303 | Linda S Jones Ms LLP PC | Psychologist | 17940 Farmington Suite 222, Livonia, MI 48154-3185 | 2018-05-30 |
| 1508295635 | Amelia Rivas | Psychologist | 17177 North Laurel Park Dr., Livonia, MI 48152 | 2013-11-08 |
| 1922365287 | Amanda Kay-lynne Kopp | Psychologist | 31572 Schoolcraft Rd., Livonia, MI 48150-4815 | 2012-04-11 |
| 1679808844 | Angel Daniels | Psychologist | 31673 Hillbrook St, Livonia, MI 48152-3390 | 2009-10-06 |
| 1659529139 | Life Cycle Counseling, LLC | Psychologist | 37799 Professional Dr, Livonia, MI 48154-1153 | 2008-09-08 |
| 1376702795 | Linda Susan Jones | Psychologist | 29144 Oriole, Livonia, MI 48154 | 2008-06-02 |
| 1760676381 | Jennifer Zaha | Psychologist | 36650 Five Mile Rd Ste 101, Livonia, MI 48154-1956 | 2007-08-28 |
| 1942405915 | Kellie Ann Whitlock | Psychologist | 29470 Robert Dr, Livonia, MI 48150-3039 | 2007-06-19 |
| 1952503096 | Terry Steven Bradford | Psychologist | 17290 Farmington Rd, Livonia, MI 48152-3151 | 2007-06-01 |
| 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.