EASTERN MICHIGAN UNIVERSITY (NPI# 1568730281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568730281 |
| Entity Type | Organization |
| Organization Name | EASTERN MICHIGAN UNIVERSITY |
| Other Organization Name | AUTISM COLLABORATIVE CENTER |
| Practice Address |
1055 Cornell Rd Fletcher Building Ypsilanti MI 48197-1657 |
| Mailing Address |
1055 Cornell Rd Fletcher Building, Acc Main Office Ypsilanti MI 48197-1657 |
| Practice Telephone | 7344852890 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | MRS. KRISTINE LYNN KASTLE-RUETHER (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7344872890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1780989020 | MI | Behavioral Health & Social Service Providers |
| N | 174400000X | Specialist | 23317193 | MI | Other Service Providers |
| N | 174400000X | Specialist | 1699070656 | MI | Other Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 1215113246 | MI | Speech, Language and Hearing Service Providers |
| Y | 174400000X | Specialist | 5201007984 | MI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Autism Collaborative Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1245605625 | Eastern Michigan University | Psychologist | 313 Snow Health Center, Eastern Michigan University, Ypsilanti, MI 48197 | 2015-12-10 |
| 1093024838 | Eastern Michigan University | Clinic/Center | 200 Snow Health Center, Eastern Michigan University, Ypsilanti, MI 48197-2207 | 2010-09-28 |
| 1164441192 | Eastern Michigan University | Pharmacy | Suite 201 Snow Health Center, Eastern Michigan University, Ypsilanti, MI 48197 | 2006-07-19 |
| 1972041127 | Eastern Michigan University | Occupational Therapist | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2017-02-08 |
| 1063950210 | Eastern Michigan University | Speech-Language Pathologist | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2017-02-08 |
| 1346628534 | Eastern Michigan University | Health Maintenance Organization | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2015-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Eastern Michigan University | 212 Hover, Ypsilanti, MI 48197 |
| Street Address |
1055 CORNELL RD FLETCHER BUILDING, |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699804377 | Marta Anderson Muusz | Occupational Therapist | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2007-03-05 |
| 1275173742 | Jaimie Barr | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2020-01-13 |
| 1275175846 | Regan Mcgill | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-10-15 |
| 1821630674 | Emily Callis | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-10-14 |
| 1831740901 | Rebekah Marlene Mccoy | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-09-20 |
| 1205487378 | Emma Danielle Abad | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-09-20 |
| 1811559818 | Mia Kristine Padgett | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-07-01 |
| 1700445228 | Baylee Renee Johnston | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-06-08 |
| 1023675444 | Jurilda Mehmeti | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-05-21 |
| 1760956825 | Marissa Dulcamaro | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310802 | Larrissa Carlton | Specialist | 31 S Mansfield St, Ypsilanti, MI 48197-4508 | 2017-04-14 |
| 1598795338 | Alma Marie Davenport | Specialist | 882 S Grove St Uppr Units, Ypsilanti, MI 48198-6344 | 2006-07-04 |
| 1881663367 | Bradley L Hubbard | Specialist | 5325 Elliott Drive, Ypsilanti, MI 48197 | 2006-03-16 |
| 1871569202 | Mohammad I Azimi | Specialist | 317 Ecorse Rd, Suite # 9, Ypsilanti, MI 48198-5787 | 2006-02-25 |
| 1245771583 | Catherine Mcauley Health Services Corp | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2017-03-20 |
| 1245656529 | Elizabeth Buckmaster | Specialist | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2014-03-11 |
| 1295085967 | Sowmya Angusamy | Specialist | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2012-09-10 |
| 1760521298 | Michigan Brain & Spine Institute, PC | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2007-02-05 |
| 1992875264 | Michael Henry Otto | Specialist | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-0000 | 2006-11-08 |
| 1861562134 | David Katz | Specialist | 5333 Mcauley Dr, R-3106, Ypsilanti, MI 48197-1014 | 2006-11-08 |
| Find all providers in YPSILANTI | ||||
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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.