Active NPI
Hallie Glover
- Behavior Analyst
- Ann Arbor, MI
National Provider Identifier
1295193829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11834219
- Practice address
- 180 Jackson PLZ
Ann Arbor, MI 48103-1959 - Phone
- (734) 769-0505
- NPI assigned
- Feb 10, 2016
- Last updated
- Aug 29, 2023
- 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 | 11834219 | MI | Primary |
Addresses
Primary practice location
180 Jackson PLZ
Ann Arbor, MI 48103-1959
Mailing address
992 Pinehurst Dr
Spring Hill, TN 37174-2978
Phone (847) 946-1884
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11834219 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Therapy Center, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Spectrum Therapy Center
- Behavior Analyst
- Ann Arbor, MI
- NPI 1437597762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1295193829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "992 PINEHURST DR",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371742978",
"telephone_number": "847-946-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 JACKSON PLZ",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031959",
"telephone_number": "734-769-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "HALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "11834219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.