NPIMap

Organization Active NPI

Spectrum Therapy Center, Inc.

Doing business as Spectrum Therapy Center

  • Behavior Analyst
  • Ann Arbor, MI
National Provider Identifier
1437597762
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPECTRUM THERAPY CENTER, INC.
Doing business as
Spectrum Therapy Center
Practice address
180 Jackson PLZ
Ann Arbor, MI 48103-1959
Phone
(734) 769-0505
Fax
(734) 769-0797
NPI assigned
Jun 9, 2013
Last updated
May 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Mary BurkeNPI 1962774034
Title
Owner
Phone
(734) 709-8948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

180 Jackson PLZ
Ann Arbor, MI 48103-1959

Mailing address

180 Jackson PLZ
Ann Arbor, MI 48103-1959
Phone (734) 769-0505

Other names 1

  • Spectrum Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

180 Jackson Plz
Ann Arbor, MI 48103
Phone (734) 369-4941

1955 Pauline Blvd
Ste 10
Ann Arbor, MI 48103
Phone (734) 769-0505

1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103
Phone (734) 769-0505

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1370736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1437597762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JACKSON PLZ",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031959",
            "telephone_number": "734-769-0505",
            "fax_number": "734-769-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JACKSON PLZ",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031959",
            "telephone_number": "734-769-0505",
            "fax_number": "734-769-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-09",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-709-8948"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.