Individual provider Active NPI

Jazmine Greene

  • Behavior Analyst
  • Saginaw, MI
National Provider Identifier
1669928255
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
300 Saint Andrews Rd Ste 407
Saginaw, MI 48638-5977
Phone
(989) 341-3653
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

300 Saint Andrews Rd Ste 407
Saginaw, MI 48638-5977

Mailing address

PO Box 663
Lakeland, MI 48143-0663
Phone (734) 203-0181

Other practice location 1

23800 W 10 Mile Rd Ste 105
Southfield, MI 48033-3199
Phone (718) 215-5311

Other practice location 2

18928 Sorrento St
Detroit, MI 48235-1323
Phone (313) 707-3790

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

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC Behavior Analyst PastSince May 19, 2024 Accepting new patients
Chitter Chatter P.C. Behavior Analyst Past Accepting new patients
Advance ABA , LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1669928255",
    "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": "734-203-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SAINT ANDREWS RD STE 407",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385977",
            "telephone_number": "989-341-3653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23800 W 10 Mile Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480333199",
            "country_code": "US",
            "telephone_number": "718-215-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18928 Sorrento St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482351323",
            "country_code": "US",
            "telephone_number": "313-707-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JAZMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "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 May 17, 2024; 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.