Active NPI
Melanie Luckett, RBT-19-75277
- Behavior Technician
- Livonia, MI
National Provider Identifier
1164948832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-75277
- Practice address
- 31557 Schoolcraft Rd
Livonia, MI 48150-1849 - Phone
- (854) 844-1116
- NPI assigned
- Aug 15, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Behavior Technician | 106S00000X | RBT-19-75277 | MI | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
31557 Schoolcraft Rd
Livonia, MI 48150-1849
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (854) 844-1116
Other practice location 1
43825 Michigan Ave
Canton, MI 48188-2551
Phone (734) 397-3088
Other practice location 2
229 N Sheldon Rd
Plymouth, MI 48170-1524
Phone (313) 278-4601
Other practice location 3
5 Revere Dr Ste 120
Northbrook, IL 60062-8005
Phone (847) 306-9843
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-75277 | MI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1164948832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "854-844-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31557 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501849",
"telephone_number": "854-844-1116"
}
],
"practiceLocations": [
{
"address_1": "43825 Michigan Ave",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MI",
"postal_code": "481882551",
"country_code": "US",
"telephone_number": "734-397-3088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "229 N Sheldon Rd",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MI",
"postal_code": "481701524",
"country_code": "US",
"telephone_number": "313-278-4601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Revere Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600628005",
"country_code": "US",
"telephone_number": "847-306-9843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCKETT",
"first_name": "MELANIE",
"credential": "RBT-19-75277",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "RBT-19-75277",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.