Alex James Marcum

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2221 Livernois Rd Ste 101
Troy, MI 48083-1603

Phone

(586) 703-4452

NPI assigned

Jun 19, 2019

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jun 19, 2019.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1780244905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LIVERNOIS RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831603",
            "telephone_number": "586-703-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LIVERNOIS RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831603",
            "telephone_number": "586-703-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "ALEX",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abir Marashi
• Marc Adelman D.O., P.C.
• Leah Stacy Panourgias Marchetti, M.A., CCC-SLP
• Monica S Marciniak, M.A., CCC-SLP
• Gabriela Rodriguez Marcozzi, MA, SCL, LLC
• Peter Mardo
• Jodi Marini, RN
• Kyrstina Hudson Mariouw, PH.D
• Mark J. Scapini, M.D., P.L.L.C.
• Mark P Koniuch MD PC

• All providers in Troy, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.