Individual provider Active NPI

Lauren Ruth Hamann, BCBA, LBA

  • Behavior Analyst
  • Ann Arbor, MI
National Provider Identifier
1104523877
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401002018 Issued in MI
Practice address
2395 S Huron Pkwy
Ann Arbor, MI 48104-5170
Phone
(313) 870-7204
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401002018 MI Primary

Addresses

Primary practice location

2395 S Huron Pkwy
Ann Arbor, MI 48104-5170

Mailing address

40992 Ivywood LN
Plymouth, MI 48170-2784
Phone (734) 788-8135

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

State licenses

LicenseStateTypeSpecialty
7401002018MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bluemind Therapy Behavior Analyst CurrentSince Feb 19, 2023 Accepting new patients

Locations

2395 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 882-2833

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.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1104523877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40992 IVYWOOD LN",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702784",
            "telephone_number": "734-788-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045170",
            "telephone_number": "313-870-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "LAUREN",
        "middle_name": "RUTH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.