Wyman David Stewart II

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1403 Inkster Rd
Inkster, MI 48141-1831

Phone

(313) 565-2200

NPI assigned

Apr 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hegira Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westland, MI
  • NPI 1184684979
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1184111858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9048 HAZELTON",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391136",
            "telephone_number": "313-623-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411831",
            "telephone_number": "313-565-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31557 Schoolcraft Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501848",
            "country_code": "US",
            "telephone_number": "734-474-2958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "WYMAN",
        "middle_name": "DAVID",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starfish Family Services Inc.
• Shannon Starks
• Pierre Staten
• Omar Floyd Steenbergh III, DDS
• Melissa Stellini
• Ebony Stitt
• STLC Afc, Inc
• Habeeb Suara, MD
• Shannon Sugarman
• Sunshine Homes 2 LLC

• Behavior Technician in Inkster, MI
• Providers in Inkster, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.