NPIMap

Organization Active NPI

Autism Services North

  • Health Maintenance Organization
  • Dearborn, MI
National Provider Identifier
1487941837
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AUTISM SERVICES NORTH
Practice address
5 Ridgemont CT
Dearborn, MI 48124-1222
Phone
(313) 414-9969
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mr. Paul Eschbach
Title
Bcba
Phone
(800) 306-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

5 Ridgemont CT
Dearborn, MI 48124-1222

Mailing address

5 Ridgemont CT
Dearborn, MI 48124-1222
Phone (313) 414-9969

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1487941837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RIDGEMONT CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241222",
            "telephone_number": "313-414-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RIDGEMONT CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241222",
            "telephone_number": "313-414-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SERVICES NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "ESCHBACH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "800-306-8602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.