NPIMap

Organization Active NPI

Centerpiece

  • Behavior Analyst
  • Green Bay, WI
National Provider Identifier
1750764478
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18671 Issued in WI
Legal business name
CENTERPIECE
Practice address
986 Lakeview Dr
Green Bay, WI 54313-8818
Phone
(920) 544-4970
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Janice Miles
Title
Office Manager/Business Owner
Phone
(920) 544-4970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-18671 WI Primary

Addresses

Primary practice location

986 Lakeview Dr
Green Bay, WI 54313-8818

Mailing address

986 Lakeview Dr
Green Bay, WI 54313-8818

National Provider Directory

National Provider Directory
Tax ID family
Centerpiece2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

986 Lakeview Dr
Howard, WI 54313
Phone (920) 409-4271

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1750764478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 LAKEVIEW DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 LAKEVIEW DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138818",
            "telephone_number": "920-544-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPIECE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER/BUSINESS OWNER",
        "authorized_official_telephone_number": "920-544-4970"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1-15-18671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.