Evan Troy Gunden

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1300 N Michigan Ave
Saginaw, MI 48602-4732

Phone

(989) 401-9033

NPI assigned

Aug 16, 2016

Last updated

Jan 14, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bay Human Services Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Standish, MI
  • NPI 1114775442
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1770038168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486580741",
            "telephone_number": "989-846-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024732",
            "telephone_number": "989-401-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDEN",
        "first_name": "EVAN",
        "middle_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382335441",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Guinn, OTRL
• Ramanarasimha Reddy Gujjula, PHARMACIST
• Gulch Dialysis LLC (Fashion Square Dialysis)
• Caitlin Marie Guldenzoph, RDH
• Edith Gulick
• Manisha Gupta, M.D.
• Puneet Gupta, M.D.
• Sonya Gupta, DO
• Tuisha Gupta, M.D.
• Priyatham Gurram, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.