Mickaela Perez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28180

Practice address

623 W Warwick Dr Ste 2
Alma, MI 48801

Phone

(989) 860-6119

NPI assigned

May 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mickaela Maxey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Mercy Plus

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alma, MI
  • NPI 1902481658
  NPD
• Mercy Plus Health Services

  • Behavior Analyst
  • Alma, MI
  • NPI 1447851233
  NPD
• Mercy Plus Healthcare Services LLC

  • Nursing Care Agency
  • Flushing, MI
  • NPI 1669706149

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1245687516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 N ELMS RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339423",
            "telephone_number": "866-498-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W WARWICK DR STE 2",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "48801",
            "telephone_number": "989-860-6119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 W Warwick Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "48801",
            "country_code": "US",
            "telephone_number": "989-860-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MICKAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKAELA",
            "last_name": "MAXEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Marie Patrick, ADN-RN
• Donna Patterson
• Elizabeth Leigh Peake
• Kaylee Penland
• Clara Perez-Soto
• Briana Marie Peru
• Peter Bruno M.D.P.C.
• Joseph David Peterson, M.D.
• Hailey Petterson
• Kaleigh Pettigrew

• Behavior Analyst in Alma, MI
• Providers in Alma, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.