Individual provider Active NPI

Shawn Michael Donaldson

  • Behavior Analyst
  • Lansing, MI
National Provider Identifier
1932670437
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401001902 Issued in MI
Practice address
1048 Pierpont Dr Ste 9
Lansing, MI 48911-5976
Phone
(734) 252-6522
Fax
(844) 272-1304
NPI assigned
Dec 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 820799715 MI
Behavior Analyst 103K00000X 7401001902 MI Primary

Addresses

Primary practice location

1048 Pierpont Dr Ste 9
Lansing, MI 48911-5976

Mailing address

6102 Abbot Rd
East Lansing, MI 48823-1410

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
7401001902MIMDBehavioral Analyst
820799715MIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Next Gen Therapy LLC Behavior Analyst CurrentSince Dec 6, 2022 Accepting new patients

Locations

6102 Abbot Rd
East Lansing, MI 48823
Phone (517) 721-1313

6110 Abbott Rd
East Lansing, MI 48823
Phone (517) 332-5342

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": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1932670437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 ABBOT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 PIERPONT DR STE 9",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115976",
            "telephone_number": "734-252-6522",
            "fax_number": "844-272-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-09",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "820799715",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.