NPIMap

Organization Active NPI

Michigan Learning Community, LLC

  • Behavior Analyst
  • Ypsilanti, MI
National Provider Identifier
1366058141
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MICHIGAN LEARNING COMMUNITY, LLC
Practice address
1349 S Huron St
Ypsilanti, MI 48197-7021
Phone
(734) 929-2620
Fax
(734) 896-3183
NPI assigned
Sep 17, 2020
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
John Spisak
Title
Managing Partner
Phone
(734) 263-9369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1349 S Huron St
Ypsilanti, MI 48197-7021

Mailing address

1349 S Huron St
Ypsilanti, MI 48197-7021
Phone (734) 929-2620

Other practice location 1

4160 E Grand River Ave
Howell, MI 48843-6538
Phone (734) 929-2620

National Provider Directory

National Provider Directory

Locations

4160 E Grand River Ave
Howell, MI 48843
Phone (734) 929-2620

1349 S Huron St
Ypsilanti, MI 48197
Phone (734) 929-2620

Practitioners & affiliated clinicians

Practitioners 133

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 133

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1366058141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977021",
            "telephone_number": "734-929-2620",
            "fax_number": "734-896-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977021",
            "telephone_number": "734-929-2620",
            "fax_number": "734-896-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488436538",
            "country_code": "US",
            "telephone_number": "734-929-2620",
            "fax_number": "734-896-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN LEARNING COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "SPISAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "734-263-9369"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.