Organization Active NPI

T & G Corporation Inc

Doing business as Behavioral Center of Michigan - Professional Billing

  • Nurse Practitioner
  • Warren, MI
National Provider Identifier
1073072526
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
T & G CORPORATION INC
Doing business as
Behavioral Center of Michigan - Professional Billing
Practice address
4050 E 12 Mile Rd
Warren, MI 48092-2534
Phone
(586) 261-2266
NPI assigned
Mar 14, 2019
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Ryan Gunabalan
Title
Ceo
Phone
(586) 261-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

4050 E 12 Mile Rd
Warren, MI 48092-2534

Mailing address

4050 E 12 Mile Rd
Warren, MI 48092-2534
Phone (586) 261-2266

Other names 1

  • Behavioral Center of Michigan - Professional Billing 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": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1073072526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922534",
            "telephone_number": "586-261-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922534",
            "telephone_number": "586-261-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & G CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-261-2266"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Center of Michigan - Professional Billing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.