Centerpiece LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

40-140 Issued in WI

Legal business name

CENTERPIECE LLC

Practice address

2638 Tulip LN
Suite B
Green Bay, WI 54313-2800

Phone

(920) 660-7555

Fax

(920) 429-2845

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Janice Miles, BBA

Title

Office Manager

Phone

(920) 660-7555

Specialties & licenses 1

Addresses

Tax ID family

Centerpiece2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centerpiece

  • Behavior Analyst
  • Green Bay, WI
  • NPI 1750764478
  NPD tax ID

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1316294895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 TULIP LN",
            "address_2": "SUITE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543132800",
            "telephone_number": "920-660-7555",
            "fax_number": "920-429-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 TULIP LN",
            "address_2": "SUITE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543132800",
            "telephone_number": "920-660-7555",
            "fax_number": "920-429-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPIECE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-660-7555",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "40-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCC of West Green Bay LLC (Crossroads Care Center of West Green Bay)
• Center for Asthma & Allergy, Inc.
• Center for Asthma & Allergy, Inc.
• Center for Childhood Safety
• Centerpiece
• Cerebral Palsy, Inc.
• Amber Cernat, PA-C
• Brenda J Chaet, OTR
• Jessica Chaffins, LPCC
• Timothy L Chamberlain, MD

• Behavior Analyst in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.