Individual provider Active NPI

Anna-Catherine Mary Holmes, MA, BCBA

  • Behavior Analyst
  • Novi, MI
National Provider Identifier
1720574510
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000151 Issued in MI
Practice address
44225 W 12 Mile Rd
Novi, MI 48377-2638
Phone
(248) 277-3005
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-31128
Behavior Analyst 103K00000X 7401000151 MI Primary

Addresses

Primary practice location

44225 W 12 Mile Rd
Novi, MI 48377-2638

Mailing address

44225 W 12 Mile Rd
Novi, MI 48377-2638
Phone (248) 277-3005

Other names 1

  • Anna-Catherine Mary Sussman Other name

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 Arts

State licenses

LicenseStateTypeSpecialty
7401000151MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Canton BCC LLC Behavior Analyst PastSince Jun 2, 2024 Accepting new patients
Canton BCC LLC PastSince Sep 29, 2024 Accepting new patients
BWC Brighton LLC PastSince Dec 21, 2021 Accepting new patients
BWC Brighton LLC PastSince Jun 2, 2024 Accepting new patients
ABA Therapy, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 5

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1720574510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44225 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772638",
            "telephone_number": "248-277-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44225 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772638",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ANNA-CATHERINE",
        "middle_name": "MARY",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-31128",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA-CATHERINE",
            "last_name": "SUSSMAN",
            "middle_name": "MARY",
            "credential": "MA, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.