Individual provider Active NPI

Veronique A Sharper

  • Behavior Technician
  • Bingham Farms, MI
National Provider Identifier
1902520125
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
S616843066300 Issued in MI
Practice address
32100 Telegraph Rd
Bingham Farms, MI 48025-2452
Phone
(248) 621-4792
NPI assigned
Sep 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X S616843066300 MI Primary

Addresses

Primary practice location

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Mailing address

15835 Cruse St
Detroit, MI 48227-3309
Phone (313) 652-2386

Other identifiers 1

IdentifierTypeStateIssuer
S616843066300MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vsharper@gatewaypediatrictherapy.com Direct

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

LicenseStateTypeSpecialty
S616843066300MIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1902520125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 CRUSE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273309",
            "telephone_number": "313-652-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252452",
            "telephone_number": "248-621-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPER",
        "first_name": "VERONIQUE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "S616843066300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S616843066300",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vsharper@gatewaypediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "tablet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32100 Telegraph Rd",
            "city": "Bingham Farms",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480252452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.