Active NPI
Emily Sallen
- Behavior Analyst
- Denver, CO
National Provider Identifier
1861742934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001737
- Practice address
- 695 S Colorado Blvd Ste 20
Denver, CO 80246-8010 - Phone
- (303) 360-0727
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401001737 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
695 S Colorado Blvd Ste 20
Denver, CO 80246-8010
Mailing address
675 Lakeview Ave
Birmingham, MI 48009-3828
Other practice location 1
19401 Northline Rd
Building 5
Southgate, MI 48195-2277
Phone (734) 785-7700
Other practice location 2
2604 Invitational Dr
Oakland, MI 48363-2455
Phone (248) 244-8728
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 |
|---|---|---|---|
| 7401001737 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caliber Autism Care LLC | Single Specialty | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1861742934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 LAKEVIEW AVE",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480093828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 S COLORADO BLVD STE 20",
"city": "DENVER",
"state": "CO",
"postal_code": "802468010",
"telephone_number": "303-360-0727"
}
],
"practiceLocations": [
{
"address_1": "19401 Northline Rd",
"address_2": "Building 5",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952277",
"country_code": "US",
"telephone_number": "734-785-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2604 Invitational Dr",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "MI",
"postal_code": "483632455",
"country_code": "US",
"telephone_number": "248-244-8728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALLEN",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2022-10-28",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401001737",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.