NPIMap

Organization Active NPI

Enhanced Behavioral Respite Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Saginaw, MI
National Provider Identifier
1619503356
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
ENHANCED BEHAVIORAL RESPITE INC.
Practice address
300 Saint Andrews Rd
Saginaw, MI 48638-5977
Phone
(989) 401-9020
NPI assigned
Mar 13, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Joanne Dodick, LMSW, BCBA, LBANPI 1447575857
Title
Founding Member
Phone
(810) 599-2129

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
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU Primary

Addresses

Primary practice location

300 Saint Andrews Rd
Saginaw, MI 48638-5977

Mailing address

PO Box 663
Lakeland, MI 48143-0663
Phone (810) 599-2129

National Provider Directory

National Provider Directory

Locations

300 Saint Andrews Rd
Saginaw, MI 48638
Phone (989) 341-3653

Practitioners & affiliated clinicians

Practitioners 373

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 373

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1619503356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "LAKELAND",
            "state": "MI",
            "postal_code": "481430663",
            "telephone_number": "810-599-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SAINT ANDREWS RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385977",
            "telephone_number": "989-401-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED BEHAVIORAL RESPITE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DODICK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "FOUNDING MEMBER",
        "authorized_official_telephone_number": "810-599-2129",
        "authorized_official_credential": "LMSW, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.