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Deactivated NPI 1295513661 Deactivated / Inactive NPI Female Practitioner

Bao Yang

Case Manager/Care Coordinator • Warren, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bao Yang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 18, 2023
NPI Deactivation Date August 06, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Bao Yang was a registered Case Manager/Care Coordinator practicing in Warren, MI. Throughout an active medical career spanning 2 years, Bao Yang provided care at the practice location at 12200 E 13 MILE RD until profile deactivation on 2025-08-06.

Practice Location & Contact Primary Location

Practice Address

12200 E 13 Mile Rd

Warren, MI 480933093

Telephone 5865731810
Associated Practice Facility / Clinic
🏢 Charles T Jax & Associates Pc Facility NPI 1457378903

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Warren, MI (4620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-04
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Fatima Alim

Behavior Technician

NPI 1003635160
Katherine Vandewyngearde , LMSW

Social Worker - Clinical

NPI 1013154517

Licensed Master Social Worker

Dalton Lingar , MA, LLP

Psychologist - Counseling

NPI 1023348018

Master of Arts, Licensed Limited Psychologist

Christine Coatney , LLMSW

Social Worker - Clinical

NPI 1023440542

Limited Licensed Master Social Worker

Brianna Witherspoon

Behavior Technician

NPI 1043851728
Kelsey Joachim , LLMSW

Social Worker - Clinical

NPI 1043956386

Limited Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 04, 2025

Registered at 12200 E 13 MILE RD, WARREN, MI 480933093 (Tel: 5865731810)

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Updated Business Mailing Address September 04, 2025

Registered at 12200 E 13 MILE RD, WARREN, MI 480933093 (Tel: 5865731810)

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Provider Name / Credentials Updated September 04, 2025

Recorded as BAO YANG

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2025

Case Manager/Care Coordinator

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NPI Profile Deactivated August 06, 2025

Record deactivated on August 06, 2025

NPI Profile Active September 18, 2023

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2023

Registered at 2399 E WALTON BLVD, AUBURN HILLS, MI 483261955 (Tel: 2487063450)

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Updated Business Mailing Address September 18, 2023

Registered at 22170 W 9 MILE RD, SOUTHFIELD, MI 480336007 (Tel: 2483726800)

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Provider Name / Credentials Updated September 18, 2023

Recorded as BAO YANG

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration September 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295513661
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2023
Last Update: September 04, 2025
Deactivation Date: August 06, 2025
Sole Proprietor: No

Mailing Address

12200 E 13 Mile Rd

Warren, MI 480933093

Phone: 5865731810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.