Organization Active NPI

Rise Center for Autism

  • Clinic/Center
  • Prudenville, MI
National Provider Identifier
1538698576
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RISE CENTER FOR AUTISM
Practice address
1840 W Houghton Lake Dr Unit 2
Prudenville, MI 48651-9672
Phone
(989) 965-3274
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Margaret Yvonne Ficaj, BCBANPI 1205234697
Title
Clinical Director
Phone
(989) 202-5737

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1840 W Houghton Lake Dr Unit 2
Prudenville, MI 48651-9672

Mailing address

140 Algonquin Dr
Houghton Lake, MI 48629-9356
Phone (989) 965-3274

National Provider Directory

National Provider Directory

Locations

1840 W Houghton Lake Dr
Unit 2
Prudenville, MI 48651
Phone (989) 202-4900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1538698576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ALGONQUIN DR",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486299356",
            "telephone_number": "989-965-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W HOUGHTON LAKE DR UNIT 2",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519672",
            "telephone_number": "989-965-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE CENTER FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FICAJ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "989-202-5737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prudenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.