Active NPI
Jessica Dodson
- Behavior Analyst
- Brighton, MI
National Provider Identifier
1194175653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7030 Whitmore Lake Rd
Brighton, MI 48116-8533 - Phone
- (248) 486-3636
- NPI assigned
- Jun 15, 2016
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7030 Whitmore Lake Rd
Brighton, MI 48116-8533
Mailing address
7030 Whitmore Lake Rd
Brighton, MI 48116-8533
Other practice location 1
318 River Ridge Dr NW
Walker, MI 49544-1654
Phone (313) 806-1410
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 |
|---|---|---|---|
| Oxford Recovery Center | Behavior Analyst | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1194175653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 WHITMORE LAKE RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 WHITMORE LAKE RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168533",
"telephone_number": "248-486-3636"
}
],
"practiceLocations": [
{
"address_1": "318 River Ridge Dr NW",
"address_purpose": "LOCATION",
"city": "Walker",
"state": "MI",
"postal_code": "495441654",
"country_code": "US",
"telephone_number": "313-806-1410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODSON",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.