Organization Active NPI

Encore Pediatrics, LLC

  • Behavior Analyst
  • Farmington Hills, MI
National Provider Identifier
1336856335
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ENCORE PEDIATRICS, LLC
Practice address
33533 W 12 Mile Rd Ste 290
Farmington Hills, MI 48331-5635
Phone
(866) 925-8505
NPI assigned
Oct 31, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Mr. John Cotcher
Title
Evp of Pediatrics
Phone
(248) 672-2593

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

33533 W 12 Mile Rd Ste 290
Farmington Hills, MI 48331-5635

Mailing address

33533 W 12 Mile Rd Ste 290
Farmington Hills, MI 48331-5635
Phone (866) 925-8505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1336856335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD STE 290",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315635",
            "telephone_number": "866-925-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD STE 290",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315635",
            "telephone_number": "866-925-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "COTCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP OF PEDIATRICS",
        "authorized_official_telephone_number": "248-672-2593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.