Kayla Lynn Grunewald

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401002597 Issued in MI

Practice address

1100 W Newark Rd
Lapeer, MI 48446-9449

Phone

(810) 358-0373

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Journey Therapy Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lapeer, MI
  • NPI 1114446895

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1851959159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469449",
            "telephone_number": "810-358-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32100 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480252452",
            "country_code": "US",
            "telephone_number": "248-712-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNEWALD",
        "first_name": "KAYLA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Punches PLLC
• Kortney Gregory, PT
• Jan C Gromada, DO
• Penelope Gronda
• Growth & Opportunity, Inc.
• Nicole Guerrerro
• Gunda S. Reddy MD PC
• Christina Guster
• H2G Dental PLLC
• Thomas N Haase, PT, DPT

• Behavior Analyst in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.