Active NPI
Carlyn McIntosh
- Behavior Technician
- Auburn Hills, MI
National Provider Identifier
1538510540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 520 Bloomfield Village Blvd
Apt 24
Auburn Hills, MI 48326-3589 - Phone
- (313) 465-3687
- NPI assigned
- Jun 30, 2016
- 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 | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
520 Bloomfield Village Blvd
Apt 24
Auburn Hills, MI 48326-3589
Mailing address
9 Greenwoode LN Apt a
Pontiac, MI 48340-2259
Phone (313) 465-3687
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1538510540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREENWOODE LN APT A",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483402259",
"telephone_number": "313-465-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 BLOOMFIELD VILLAGE BLVD",
"address_2": "APT 24",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263589",
"telephone_number": "313-465-3687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "CARLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.