Organization Active NPI

Landria Green, PLLC

  • Behavior Analyst
  • Belleville, MI
National Provider Identifier
1275927279
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LANDRIA GREEN, PLLC
Practice address
42861 Stratford Dr
Belleville, MI 48111-1729
Phone
(248) 919-8627
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mrs. Landria Seals Green
Title
President
Phone
(248) 919-8627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 71010000784 MI

Addresses

Primary practice location

42861 Stratford Dr
Belleville, MI 48111-1729

Mailing address

42861 Stratford Dr
Belleville, MI 48111-1729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1275927279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42861 STRATFORD DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481111729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42861 STRATFORD DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481111729",
            "telephone_number": "248-919-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRIA GREEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "SEALS GREEN",
        "authorized_official_first_name": "LANDRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-919-8627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "71010000784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.