NPIMap

Individual provider Active NPI

Taylor R Vermeersch, BCBA

  • Behavior Analyst
  • Bay City, MI
National Provider Identifier
1295377042
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401001032 Issued in MI
Practice address
2919 Wilder Rd Ste 100
Bay City, MI 48706-9299
Phone
(989) 671-5738
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401001032 MI Primary

Addresses

Primary practice location

2919 Wilder Rd Ste 100
Bay City, MI 48706-9299

Mailing address

2919 Wilder Rd Ste 100
Bay City, MI 48706-9299
Phone (989) 671-5738

Other names 1

  • Taylor Vermeersch Other name

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

LicenseStateTypeSpecialty
7401001032MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Behavior Analyst Past Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1295377042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 WILDER RD STE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069299",
            "telephone_number": "989-671-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 WILDER RD STE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069299",
            "telephone_number": "989-671-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEERSCH",
        "first_name": "TAYLOR",
        "middle_name": "R",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "VERMEERSCH",
            "credential": "MS, BCBA, LBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.