Organization Active NPI

Achieve Center of Mi, PLLC

  • Behavior Analyst
  • Royal Oak, MI
National Provider Identifier
1003675802
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACHIEVE CENTER OF MI, PLLC
Practice address
25600 Woodward Ave Ste 111
Royal Oak, MI 48067-0944
Phone
(248) 629-9583
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yisroel Ball
Title
Manager
Phone
(248) 629-9583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

25600 Woodward Ave Ste 111
Royal Oak, MI 48067-0944

Mailing address

25600 Woodward Ave Ste 111
Royal Oak, MI 48067-0944

Other names 1

  • Achieve Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1003675802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE STE 111",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE STE 111",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670944",
            "telephone_number": "248-629-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE CENTER OF MI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-629-9583"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.