Active NPI
Madison Victoria Berridge
- Behavior Technician
- Ada, MI
National Provider Identifier
1235612672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7922 E Dogwood Meadows CT SE
Ada, MI 49301-9440 - Phone
- (517) 898-7328
- NPI assigned
- Sep 12, 2018
- Last updated
- Oct 9, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
7922 E Dogwood Meadows CT SE
Ada, MI 49301-9440
Mailing address
7922 E Dogwood Meadows CT SE
Ada, MI 49301-9440
Phone (517) 898-7328
Other practice location 1
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 436-4476
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 |
|---|---|---|---|
| Centered Care LLC | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1235612672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7922 E DOGWOOD MEADOWS CT SE",
"city": "ADA",
"state": "MI",
"postal_code": "493019440",
"telephone_number": "517-898-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7922 E DOGWOOD MEADOWS CT SE",
"city": "ADA",
"state": "MI",
"postal_code": "493019440",
"telephone_number": "517-898-7328"
}
],
"practiceLocations": [
{
"address_1": "27777 Inkster Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483345326",
"country_code": "US",
"telephone_number": "248-436-4476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRIDGE",
"first_name": "MADISON",
"middle_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, MI
- Ashley Barcroft
- Ellen Barrett, LPC, LMHC
- Alexa Marie Bates
- Amy Renae Bell, NP
- Mary Kathryn Bennett, M.A., L.C.S.W.
- Bethany Sluiter Counseling, LLC Dba Grove Collaborative Counseling (Grove Collaborative Counseling)
- James Douglas Birmingham, MD
- Andrew J Boekestein, LPC
- Julia Bos, PA-C
- Madeline Breay, LLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.