Individual provider Active NPI

Jocelyn Amber Sawasky

  • Assistant Behavior Analyst
  • Sault Ste Marie, MI
National Provider Identifier
1932602141
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
7402000108APP20 Issued in MI
Practice address
2650 Interstate 75 Business Spur
Sault Ste Marie, MI 49783
Phone
(855) 772-8868
NPI assigned
Mar 14, 2018
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 7402000108APP20 MI Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

2650 Interstate 75 Business Spur
Sault Ste Marie, MI 49783

Mailing address

219 Brady St
Sault Sainte Marie, MI 49783-2015
Phone (906) 748-1054

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
7402000108APP20MIMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Michigan Community Mental Health Authority PastSince Jul 20, 2005 Accepting new patients
Northeast Michigan Community Mental Health Authority Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1932602141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BRADY ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832015",
            "telephone_number": "906-748-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 INTERSTATE 75 BUSINESS SPUR",
            "city": "SAULT STE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "855-772-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWASKY",
        "first_name": "JOCELYN",
        "middle_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MI",
            "license": "7402000108APP20",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Ste Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.