Active NPI
Matthew Mueller, BCABA
- Assistant Behavior Analyst
- Chesterfield, MI
National Provider Identifier
1003347121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-20-10814
- Practice address
- 51145 Nicolette Dr
Chesterfield, MI 48047-4585 - Phone
- (248) 569-5303
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Assistant Behavior Analyst | 106E00000X | 0-20-10814 | MI | Primary |
Addresses
Primary practice location
51145 Nicolette Dr
Chesterfield, MI 48047-4585
Mailing address
51145 Nicolette Dr
Chesterfield, MI 48047-4585
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanilac County Community Mental Health Authority | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Sandusky, MI
- NPI 1306854880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1003347121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51145 NICOLETTE DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51145 NICOLETTE DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474585",
"telephone_number": "248-569-5303"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "MI",
"license": "0-20-10814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.