Kendra Michelle Czarnecki

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

229 N Sheldon Rd
Plymouth, MI 48170-1524

Phone

(313) 278-4601

NPI assigned

Oct 3, 2012

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Bay Mental Health Center

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1790092088
  NPD (past)

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1639421522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "313-278-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "313-278-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Warren St.",
            "address_2": "South Bay Early Childhood",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018522208",
            "country_code": "US",
            "telephone_number": "978-452-1736 x31",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "KENDRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Shirleen Cutler, RDMS
• Alejandra Defuentes Cutter
• Lindsay Cutts
• Cybertech, Inc. (WellsBrooke)
• Joseph E Czajkowski, L.M.S.W.
• Ekaterina Paulette Czarnik, LLMSW
• Hailey D'Angelo
• Hayat M Dabaja, PA-C
• Lukasz Dabrowski
• Nancy Dado, PHARMD

• Behavior Analyst in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Behavior Analyst in Michigan

• 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.