NPIMap

Organization Active NPI

Bluestone Childrens Center, LLC

  • Behavior Analyst
  • Livonia, MI
National Provider Identifier
1841781531
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLUESTONE CHILDRENS CENTER, LLC
Practice address
38935 Ann Arbor Rd
Livonia, MI 48150-3397
Phone
(248) 886-9540
Fax
(248) 254-6613
NPI assigned
May 29, 2018
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Jan Greulich
Title
Authorized Official/ Manager
Phone
(313) 900-8009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

38935 Ann Arbor Rd
Livonia, MI 48150-3397

Mailing address

38935 Ann Arbor Rd Ste 150
Livonia, MI 48150-3397
Phone (248) 886-9540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190809001477 MI Part B Supplier - Clinic/Group Practice 8325375561 Receives reassigned benefits from 8 practitioners
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory
Tax ID family
Bluestone Childrens Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

38935 Ann Arbor Rd
Ste 150
Livonia, MI 48150
Phone (248) 886-9540

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1841781531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD STE 150",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "248-886-9540",
            "fax_number": "248-254-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "248-886-9540",
            "fax_number": "248-254-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE CHILDRENS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "GREULICH",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ MANAGER",
        "authorized_official_telephone_number": "313-900-8009"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.