Braeden Tyler Paine

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

623 W Warwick Dr Ste 2
Alma, MI 48801-1177

Phone

(989) 285-1490

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Plus

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alma, MI
  • NPI 1902481658
  NPD
• Mercy Plus Health Services

  • Behavior Analyst
  • Alma, MI
  • NPI 1447851233
  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1760008957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 E BELLOWS ST APT I1",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583649",
            "telephone_number": "540-426-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W WARWICK DR STE 2",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011177",
            "telephone_number": "989-285-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "BRAEDEN",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Olson
• Abraham Oommen, MD
• Kelsey Orling, LBSW
• Rayna Lynn Oswald, LMSW
• Christine Pacold, MD
• Ryan Palmer, LMSW
• Miranda Papenfuse, LPC
• Kenda J Parker, NP-C
• Chhaya Patel, MD
• Kimberly Marie Patrick, ADN-RN

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

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