NPIMap

Organization Active NPI

Creating Brighter Futures, Inc

  • Behavior Analyst
  • Ann Arbor, MI
National Provider Identifier
1881939346
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CREATING BRIGHTER FUTURES, INC
Practice address
4201 Varsity Dr
Ann Arbor, MI 48108-5005
Phone
(734) 926-0740
Fax
(734) 369-8851
NPI assigned
Dec 10, 2012
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Ms. Jessica Irish, BCBANPI 1407185291
Title
Clinical Director
Phone
(734) 926-0740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4201 Varsity Dr
Ann Arbor, MI 48108-5005

Mailing address

4201 Varsity Dr
Ann Arbor, MI 48108-5005
Phone (734) 926-0740

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 163

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.

View all 163

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1881939346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 VARSITY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085005",
            "telephone_number": "734-926-0740",
            "fax_number": "734-369-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 VARSITY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085005",
            "telephone_number": "734-926-0740",
            "fax_number": "734-369-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING BRIGHTER FUTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "IRISH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "734-926-0740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.