Active NPI
Brooke Vitale
- Other Technician
- Saginaw, MI
National Provider Identifier
1831622109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1300 N. Michigan
Autism Plus
Saginaw, MI 48602 - Phone
- (989) 401-9033
- NPI assigned
- Apr 4, 2017
- Last updated
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
1300 N. Michigan
Autism Plus
Saginaw, MI 48602
Mailing address
3463 Deep River Road
PO Box 741, Bay Human Services
Standish, MI 48658
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Human Services 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Standish, MI
- NPI 1114775442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1831622109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3463 DEEP RIVER ROAD",
"address_2": "PO BOX 741, BAY HUMAN SERVICES",
"city": "STANDISH",
"state": "MI",
"postal_code": "48658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N. MICHIGAN",
"address_2": "AUTISM PLUS",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48602",
"telephone_number": "989-401-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
- Visiting Nurse Association of Saginaw (Covenant Visiting Nurse Association)
- Visiting Nurse Association of Saginaw (Covenant Visiting Nurse Association)
- Visiting Nurse Services of Michigan
- Visiting Nurse Special Services
- Vital Link LLC
- Frances Ruth Vitalis, ARNP-C
- Vivid Idea Rehab
- Allison Lynne VLK, DO
- Isabella Rose Voltattorni
- Shakeisha Marie Voltz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.