Active NPI
Peaches C Brownell
- Behavior Analyst
- Detroit, MI
National Provider Identifier
1477903656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 271379
- Practice address
- 7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157 - Phone
- (313) 710-8744
- Fax
- (855) 568-2494
- NPI assigned
- Jun 17, 2016
- Last updated
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | ||
| Behavior Analyst | 103K00000X | 271379 | KY | Primary |
Addresses
Primary practice location
7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157
Mailing address
7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157
Phone (313) 710-8744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271379 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1477903656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7375 WOODWARD AVE STE 2800",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023157",
"telephone_number": "313-710-8744",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7375 WOODWARD AVE STE 2800",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023157",
"telephone_number": "313-710-8744",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNELL",
"first_name": "PEACHES",
"middle_name": "C",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "271379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.