Mara Elaine Michaels-Campos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326

Phone

(248) 436-4400

NPI assigned

Jul 24, 2019

Last updated

Sep 4, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1518510981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MAGNOLIA AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973688",
            "telephone_number": "575-791-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345326",
            "telephone_number": "248-436-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3831 W Vine St Ste 60",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414650",
            "country_code": "US",
            "telephone_number": "407-559-4854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELS-CAMPOS",
        "first_name": "MARA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mahon D O PC (Middlebelt Dermatology Center)
• Jamie Michael
• Jennifer Michael
• Nancy Michael
• Samantha Michael
• Kathleen Michaels, OT
• Stacey Michalak
• Kayley Michalczuk
• Katie Michalke
• Sarah Diane Michaud, DO

• Behavior Technician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.