Individual provider Active NPI

Jessica Pyke

  • Assistant Behavior Analyst
  • Jackson, MI
National Provider Identifier
1023481884
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
1220 W Parnall Rd
Jackson, MI 49201-7071
Phone
(517) 374-8066
NPI assigned
Nov 2, 2015
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Other Technician 247200000X
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

1220 W Parnall Rd
Jackson, MI 49201-7071

Mailing address

2400 Science Pkwy
Okemos, MI 48864-5506
Phone (517) 927-8696

Other practice location 1

1821 Nemoke Ct
Apt. 8
Haslett, MI 48840-8626
Phone (989) 295-4974

Other practice location 2

1821 Nemoke Ct
Apt. 8
Haslett, MI 48840-8626
Phone (989) 295-4974

Other practice location 3

2400 Science Pkwy
Okemos, MI 48864-5506
Phone (517) 374-8066

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

OrganizationSpecialtyStatusNew patients
Residential Options, Inc. Behavior Analyst PastSince Dec 1, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1023481884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SCIENCE PKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645506",
            "telephone_number": "517-927-8696",
            "fax_number": "517-374-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W PARNALL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017071",
            "telephone_number": "517-374-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Nemoke Ct",
            "address_2": "Apt. 8",
            "address_purpose": "LOCATION",
            "city": "Haslett",
            "state": "MI",
            "postal_code": "488408626",
            "country_code": "US",
            "telephone_number": "989-295-4974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Nemoke Ct",
            "address_2": "Apt. 8",
            "address_purpose": "LOCATION",
            "city": "Haslett",
            "state": "MI",
            "postal_code": "488408626",
            "country_code": "US",
            "telephone_number": "989-295-4974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Science Pkwy",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488645506",
            "country_code": "US",
            "telephone_number": "517-374-8066",
            "fax_number": "517-374-5912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYKE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.