Active NPI
James Dewey, LBA
- Behavior Analyst
- Waterford, MI
National Provider Identifier
1790195857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401000985
- Practice address
- 955 Campus Dr N
Waterford, MI 48328-2754 - Phone
- (248) 633-5713
- NPI assigned
- Apr 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 7401000985 | MI | Primary |
Addresses
Primary practice location
955 Campus Dr N
Waterford, MI 48328-2754
Mailing address
118 1/2 Woodford St
Missoula, MT 59801-4049
Phone (248) 633-5713
Other practice location 1
505 E Maple Rd
Troy, MI 48083-2806
Phone (248) 633-5713
Other practice location 2
51229 Century Ct
Wixom, MI 48393-2074
Phone (248) 633-5713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401000985 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Oakland Regional Center Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Auburn Hills, MI
- NPI 1023199965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1790195857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 1/2 WOODFORD ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014049",
"telephone_number": "248-633-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 CAMPUS DR N",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282754",
"telephone_number": "248-633-5713"
}
],
"practiceLocations": [
{
"address_1": "505 E Maple Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480832806",
"country_code": "US",
"telephone_number": "248-633-5713",
"fax_number": "248-475-6402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "51229 Century Ct",
"address_purpose": "LOCATION",
"city": "Wixom",
"state": "MI",
"postal_code": "483932074",
"country_code": "US",
"telephone_number": "248-633-5713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEWEY",
"first_name": "JAMES",
"credential": "LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401000985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.