Michael James Redell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6888 Vista de Oro Dr NE
Rockford, MI 49341-8573

Phone

(616) 710-6241

NPI assigned

Oct 23, 2017

Last updated

Oct 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1750892386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 VISTA DE ORO DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418573",
            "telephone_number": "616-710-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 VISTA DE ORO DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418573",
            "telephone_number": "616-710-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDELL",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186683132",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rai Care Centers of Michigan I, LLC (Rai - Rockford Park - Rockford)
• Jan Rajlich, M.D.
• Jilian Santander Rakow
• Mia K Rambo, BEHAVIOR TECHNICIAN
• Ryleigh Kay Reagan, BEHAVIOR TECHNICIAN
• Breyanah Joy Reister
• Colin Roger Remtema, PT, DPT
• Resilience Osteopathy
• Jaime Richardson, OT
• Joshua Richter

• Behavior Technician in Rockford, MI
• Providers in Rockford, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.