NPIMap

Organization Active NPI

Starfish Family Services

  • Behavior Analyst
  • Dearborn, MI
National Provider Identifier
1699237586
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STARFISH FAMILY SERVICES
Practice address
835 Mason St Ste B310
Dearborn, MI 48124-2231
Phone
(734) 713-9060
NPI assigned
Apr 1, 2019
Organization subpart
Yes
Parent organization
STARFISH FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Michele Kennedy
Title
Finance Manager
Phone
(734) 713-9243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

835 Mason St Ste B310
Dearborn, MI 48124-2231

Mailing address

30000 Hiveley St
Inkster, MI 48141-1089
Phone (734) 713-9243

Other names 1

  • Starfish Family Services-ABA Other name

National Provider Directory

National Provider Directory
Tax ID family
Starfish Family Services Inc5 organizations share this tax ID, including this one
Part of
Starfish Family Services Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1699237586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 HIVELEY ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411089",
            "telephone_number": "734-713-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B310",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242231",
            "telephone_number": "734-713-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STARFISH FAMILY SERVICES",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "734-713-9243"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starfish Family Services-ABA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

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

Verify at the official NPI Registry.