Active NPI
Stephanie Sweebe
- Behavior Analyst
- Grand Rapids, MI
National Provider Identifier
1942592209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 365-8920
- Fax
- (616) 365-8971
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-9708 | CA | |
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Analyst | 103K00000X | 2013027034 | MO |
Addresses
Primary practice location
3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Other practice location 1
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025
Phone (248) 712-4266
Other practice location 2
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025
Phone (248) 712-4266
Other practice location 3
405 W Greenlawn Ave Ste 200
Lansing, MI 48910-2889
Phone (248) 712-4266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q021118 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013027034 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1942592209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32100 TELEGRAPH RD STE 205",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3292 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-365-8920",
"fax_number": "616-365-8971"
}
],
"practiceLocations": [
{
"address_1": "32100 Telegraph Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Bingham Farms",
"state": "MI",
"postal_code": "48025",
"country_code": "US",
"telephone_number": "248-712-4266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32100 Telegraph Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Bingham Farms",
"state": "MI",
"postal_code": "48025",
"country_code": "US",
"telephone_number": "248-712-4266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Greenlawn Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489102889",
"country_code": "US",
"telephone_number": "248-712-4266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEEBE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-11-9708",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2013027034",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q021118",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.