Zoey Olivia Vanbaak

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1159 S Carney Dr
Saint Clair, MI 48079-5569

Phone

(810) 328-4500

NPI assigned

Mar 18, 2024

Sex

Female

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

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.

• Mercy Plus Healthcare Services LLC

  • Nursing Care Agency
  • Flushing, MI
  • NPI 1669706149
  NPD (past)

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1790544104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 N ELMS RD # 48079",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339423",
            "telephone_number": "866-498-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 S CARNEY DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795569",
            "telephone_number": "810-328-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBAAK",
        "first_name": "ZOEY",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Tolen, O.D.
• Venancio Torres III, D.D.S.
• Milissa Trombley
• Dominick William Van Beneden
• Martina Rose Van Beneden
• Abbigail Elizabeth Vargo, LLMSW
• Hilary Vaughn, PHARMD
• Gabriela Marita Vega Bravo, SOCIAL WORK
• Kris Chilson Wellman, DPT
• Deidra White

• Behavior Technician in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.