Colleen Marie Marcinkoski

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001325 Issued in MI

Practice address

1423 W Buell Rd
Oakland, MI 48363-2329

Phone

(586) 557-1721

NPI assigned

Apr 21, 2015

Last updated

Dec 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1740677327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 W BUELL RD",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "483632329",
            "telephone_number": "586-557-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W BUELL RD",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "483632329",
            "telephone_number": "586-557-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINKOSKI",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Renee Hervey, LPC
• Maggie Hobbs, M.A. CCC-SLP
• Mira Kas-Mikha, PHARMD
• Rebecca Lawlor, RN
• Colleen Renee Maheswaran
• Mary A McMillian
• New Horizon Community Health
• Gregory Allen Niederhauser, D.O.
• Progressive Lifestyle Inc
• Dawn Schell, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.