Active NPI
Sarah Clemens
- Behavior Analyst
- Grand Rapids, MI
National Provider Identifier
1548711658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39698
- Practice address
- 4234 Cascade Rd SE
Grand Rapids, MI 49546-8384 - Phone
- (616) 942-5570
- NPI assigned
- Oct 24, 2016
- Last updated
- Apr 18, 2022
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-39698 | MI | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
4234 Cascade Rd SE
Grand Rapids, MI 49546-8384
Mailing address
658 Northrup Ave NW
Grand Rapids, MI 49504-4704
Phone (810) 358-3038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548711658 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.rethinkbehavioralhealth.com | Direct |
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": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1548711658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 NORTHRUP AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495044704",
"telephone_number": "810-358-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468384",
"telephone_number": "616-942-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENS",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2022-04-18",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "1-19-39698",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548711658",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.rethinkbehavioralhealth.com",
"affiliation": "N",
"endpointDescription": "Electronic Health Record Platform",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Electronic Health Record",
"address_1": "4234 Cascade Rd SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495468384",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.