NPIMap

Organization Active NPI

Oakland University ABA Clinic

  • Behavior Analyst
  • Rochester, MI
National Provider Identifier
1376915264
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OAKLAND UNIVERSITY ABA CLINIC
Practice address
2200 N Squirrel Rd
260 D Pawley Hall
Rochester, MI 48309-4402
Phone
(248) 370-3052
NPI assigned
Oct 30, 2015
Organization subpart
Yes
Parent organization
OAKLAND UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Dr. Jessica Ann Korneder, PH.D., BCBANPI 1629313614
Title
Assistant Professor, Director
Phone
(248) 370-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2200 N Squirrel Rd
260 D Pawley Hall
Rochester, MI 48309-4402

Mailing address

2200 N Squirrel Rd
260 D Pawley Hall
Rochester, MI 48309-4402
Phone (248) 370-3052

National Provider Directory

National Provider Directory
Tax ID family
Oakland University3 organizations share this tax ID, including this one
Part of
Oakland University

Other organizations with this tax ID 2

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

Locations

2200 N Squirrel Rd
#260D
Rochester, MI 48309
Phone (248) 370-3052

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1376915264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N SQUIRREL RD",
            "address_2": "260 D PAWLEY HALL",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483094402",
            "telephone_number": "248-370-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N SQUIRREL RD",
            "address_2": "260 D PAWLEY HALL",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483094402",
            "telephone_number": "248-370-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND UNIVERSITY ABA CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKLAND UNIVERSITY",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "KORNEDER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR, DIRECTOR",
        "authorized_official_telephone_number": "248-370-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA"
    },
    "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 Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.