NPIMap

Organization Active NPI

Braintrust Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1518366285
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRAINTRUST BEHAVIORAL HEALTH, LLC
Practice address
3320 Tamsin Ave
Kalamazoo, MI 49008-4002
Phone
(269) 303-5931
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Mr. Zachariah T Dugger, MA, BCBA, LLPNPI 1164666558
Title
Owner
Phone
(269) 303-5931

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3320 Tamsin Ave
Kalamazoo, MI 49008-4002

Mailing address

3320 Tamsin Ave
Kalamazoo, MI 49008-4002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1518366285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 TAMSIN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 TAMSIN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084002",
            "telephone_number": "269-303-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINTRUST BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "ZACHARIAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-303-5931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, BCBA, LLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.