NPIMap

Organization Active NPI

Grove Behavioral Services

  • Behavior Analyst
  • Fremont, WI
National Provider Identifier
1033815592
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GROVE BEHAVIORAL SERVICES
Practice address
N590 Rabbit Rd
Fremont, WI 54940-9503
Phone
(920) 381-9859
Fax
(930) 325-0022
NPI assigned
Feb 6, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Janelle Marie Upthegrove, BCBANPI 1275923419
Title
Owner
Phone
(920) 381-9859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

N590 Rabbit Rd
Fremont, WI 54940-9503

Mailing address

N590 Rabbit Rd
Fremont, WI 54940-9503
Phone (920) 381-9859

National Provider Directory

National Provider Directory

Locations

1276 W Winneconne Ave
Neenah, WI 54956
Phone (920) 381-4133

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1033815592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N590 RABBIT RD",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409503",
            "telephone_number": "920-381-9859",
            "fax_number": "930-325-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N590 RABBIT RD",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409503",
            "telephone_number": "920-381-9859",
            "fax_number": "930-325-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "UPTHEGROVE",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-381-9859",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.