Active NPI
Eric Corpus, M.S.
- Behavior Analyst
- Shelby Township, MI
National Provider Identifier
1639611866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 15023 21 Mile Rd
Shelby Township, MI 48315-5024 - Phone
- (586) 286-9644
- NPI assigned
- Nov 4, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Shelby Township, MI
- NPI 1437718830
-
- Specialist
- Shelby Township, MI
- NPI 1396817771
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Rehabilitation Professionals, Inc | Past | Accepting new patients | |
| Quality Care Rehabilitation Professionals | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
15023 21 Mile Rd
Shelby Township, MI 48315-5024
Mailing address
15023 21 Mile Rd
Shelby Township, MI 48315-5024
Phone (586) 286-9644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2019.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1639611866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15023 21 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155024",
"telephone_number": "586-286-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15023 21 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155024",
"telephone_number": "586-286-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPUS",
"first_name": "ERIC",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.