Kristyn Parker

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6625 Daly Rd
West Bloomfield, MI 48322-3410

Phone

(248) 737-3430

NPI assigned

Oct 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaufman Childrens Center for Speech Language Sensory Motor Soc Connect

  • Speech-Language Pathologist
  • West Bloomfield, MI
  • NPI 1801011812
  NPD
• Kaufman Children'S Center

  • Behavior Analyst
  • West Bloomfield, MI
  • NPI 1366877318
  NPD (past)

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1508520032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 COOLIDGE HWY APT 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843634",
            "telephone_number": "151-767-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 DALY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223410",
            "telephone_number": "248-737-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KRISTYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Ann Paquette, DNP, FNP-C
• Paramount Physical Rehab LLC
• Igor Paris, MD
• Sohyun Park, RPH
• Cheryl Parker, RPH
• Parul Dev M.D. PC
• Lawrence I Pasik, M.D.
• Abhishek A Patel
• Hiralben Pravinkumar Patel, FNP-BC
• Kinneri Patel, PT

• Behavior Analyst in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.