Active NPI
Douglas Hatfield
- Behavior Analyst
- Van Buren TWP, MI
National Provider Identifier
1811354657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 48961 Denton Rd Apt 104
Van Buren TWP, MI 48111-2133 - Phone
- (734) 896-0270
- NPI assigned
- Jan 25, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | H314149866376 | MI | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
48961 Denton Rd Apt 104
Van Buren TWP, MI 48111-2133
Mailing address
48961 Denton Rd Apt 104
Van Buren TWP, MI 48111-2133
Phone (734) 896-0270
Other practice location 1
1112 W Michigan Ave
apartment 22
Ypsilanti, MI 48197-5136
Phone (734) 883-7087
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 |
|---|---|---|---|
| H314149866376 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1811354657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48961 DENTON RD APT 104",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481112133",
"telephone_number": "734-896-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48961 DENTON RD APT 104",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481112133",
"telephone_number": "734-896-0270"
}
],
"practiceLocations": [
{
"address_1": "1112 W Michigan Ave",
"address_2": "apartment 22",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481975136",
"country_code": "US",
"telephone_number": "734-883-7087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATFIELD",
"first_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-25",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "H314149866376",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.