Green Energ, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5124 Issued in CA

Legal business name

GREEN ENERG, INC

Practice address

4850 S Hill Rd
Milford, MI 48381-3936

Phone

(248) 343-0487

NPI assigned

Jul 17, 2012

Organization subpart

Yes

Parent organization

GREEN ENERG, INCAs reported in NPPES

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

Authorized official

Name

Mr. Jeffery Goretski, EIT

Title

Co Founder

Phone

(248) 343-0487

Specialties & licenses 1

Addresses

Other names 1

• Autism Michigan Doing business as

Part of

Green Energ Inc

Locations

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1295080273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S HILL RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483813936",
            "telephone_number": "248-343-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S HILL RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483813936",
            "telephone_number": "248-343-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ENERG, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN ENERG, INC",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "GORETSKI",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CO FOUNDER",
        "authorized_official_telephone_number": "248-343-0487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EIT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-5124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Patricia Gordon
• Kara Graham
• Nicole Dawn Grange, PA-C
• Paige Catherine Grass
• Courtney Graves, NP
• Melissa Green, DPT
• Melissa Green, MA, LLP
• Hannah Griemert
• Jessica Marie Grush, LMSW
• Megan Hallgren, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.