Northern Michigan University

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NORTHERN MICHIGAN UNIVERSITY

Practice address

1401 Presque Isle Avenue
158 Services Building
Marquette, MI 49855

Phone

(906) 227-2994

NPI assigned

Jan 31, 2019

Organization subpart

Yes

Parent organization

NORTHERN MICHIGAN UNIVERSITYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Gavin Leach

Title

VP Finance/Administration

Phone

(906) 227-2200

Specialties & licenses 3

Addresses

Tax ID family

Thomas W Schacht MD3 organizations share this tax ID, including this one

Part of

Thomas W Schacht MD

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Michigan University

  • Health Service Clinic/Center
  • Marquette, MI
  • NPI 1396894200
  NPD tax ID
• Northern Michigan University

  • Community/Retail Pharmacy
  • Marquette, MI
  • NPI 1487665725
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northern Michigan University

  • Community/Retail Pharmacy
  • Marquette, MI
  • NPI 1487665725
  NPPES parent name

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1821552126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVENUE",
            "address_2": "SUITE 158 SERVICES BUILDING",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-227-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVENUE",
            "address_2": "158 SERVICES BUILDING",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-227-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN MICHIGAN UNIVERSITY",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "VP FINANCE/ADMINISTRATION",
        "authorized_official_telephone_number": "906-227-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northcoast Radiology Associates, PC
• Northcountry Health of Marquette, PC
• Northern Michigan Physical Therapy
• Northern Michigan University
• Northern Michigan University
• Northern Neurosurgery Group, PC
• Northern Orthotics & Prosthetics
• Northern Shores Counseling
• Northwoods Holistic Health Center, PLC
• Suresh Nukala, MD

• Behavior Analyst in Marquette, MI
• Providers in Marquette, 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 31, 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.