Active NPI
Mickayla Blodgett
- Behavior Technician
- Galesburg, MI
National Provider Identifier
1164349478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1800 S 35TH St
Galesburg, MI 49053-9688 - Phone
- (269) 250-8200
- NPI assigned
- Jun 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Primary |
Addresses
Primary practice location
1800 S 35TH St
Galesburg, MI 49053-9688
Mailing address
5098 Everhard Ave
Kalamazoo, MI 49004-1491
Phone (269) 329-9940
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Residential Opportunities, Inc. | Past | 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.
-
dba GLC Lawrence
- Developmental Disabilities Clinic/Center
- Galesburg, MI
- NPI 1730694886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1164349478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5098 EVERHARD AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490041491",
"telephone_number": "269-329-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 S 35TH ST",
"city": "GALESBURG",
"state": "MI",
"postal_code": "490539688",
"telephone_number": "269-250-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLODGETT",
"first_name": "MICKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-30",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.