Management & Behavior Consultants, P. C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MANAGEMENT & BEHAVIOR CONSULTANTS, P. C.

Practice address

955 E 8TH St Ste 2
Traverse City, MI 49686-2785

Phone

(231) 946-0299

Fax

(231) 946-9788

NPI assigned

May 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Roxanne Kay Fall, PH.D., LLPNPI 1922130467

Title

President

Phone

(231) 946-0299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Kay Fall, PH.D., L.L.P.

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1922130467
  Medicare reassignment Authorized official
• Mark McKelvy Garner, PH.D.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1558438838
  NPD (past)
• Amelia Beth Siders, PH.D.

  • Psychologist
  • Traverse City, MI
  • NPI 1568594083
  NPD (past)

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

{
    "created_epoch": "1243123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1306071071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E 8TH ST STE 2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862785",
            "telephone_number": "231-946-0299",
            "fax_number": "231-946-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E 8TH ST STE 2",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862785",
            "telephone_number": "231-946-0299",
            "fax_number": "231-946-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT & BEHAVIOR CONSULTANTS, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-24",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-946-0299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Malaski, DPT, NCS
• Megan Kathleen Malaski
• Abdul M Malik, M.D.
• Elaine Joy-Peterson Maloney, NP
• Patrick Maloney, PHARMD
• Debra A Mandenberg
• Matthew Charles Mandeville, DDS
• Charity Manke, MA, LLP
• Michelle Manley, DO
• Jan Alexandria Manning, DDS

• Clinical Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.