NPIMap

Organization Active NPI

Roots Childrens Center

  • Behavior Analyst
  • Dearborn, MI
National Provider Identifier
1912763558
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ROOTS CHILDRENS CENTER
Practice address
1537 Monroe St Ste 400
Dearborn, MI 48124-2842
Phone
(313) 704-9044
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Enass Askar, MS, BCBANPI 1568914901
Title
President
Phone
(313) 451-0415

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1537 Monroe St Ste 400
Dearborn, MI 48124-2842

Mailing address

1537 Monroe St Ste 400
Dearborn, MI 48124-2842
Phone (313) 451-0415

Other names 1

  • Roots Children's Center Doing business as

National Provider Directory

National Provider Directory

Locations

1537 Monroe St
Ste 400
Dearborn, MI 48124
Phone (313) 704-9044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1912763558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 MONROE ST STE 400",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242842",
            "telephone_number": "313-451-0415",
            "fax_number": "313-514-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 MONROE ST STE 400",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242842",
            "telephone_number": "313-704-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS CHILDRENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ASKAR",
        "authorized_official_first_name": "ENASS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-451-0415",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Children's Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roots Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.