James Bennett Klinger Porter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1810 Chartwell Dr
Traverse City, MI 49696-9283

Phone

(231) 929-2354

Fax

(231) 929-2853

NPI assigned

Feb 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Barbara Bennett Klinger Porter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1942909387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 POWELL LN",
            "city": "KEWADIN",
            "state": "MI",
            "postal_code": "496489339",
            "telephone_number": "248-535-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CHARTWELL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496969283",
            "telephone_number": "231-929-2354",
            "fax_number": "231-929-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JAMES",
        "middle_name": "BENNETT KLINGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "PORTER",
            "middle_name": "BENNETT KLINGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hayley Rae Popp, DDS
• Spencer Popp, PA-C
• Lawrence Joseph Porta, L.M.H.C.
• Robert S Portenga, D.D.S., M.S.
• Grant Allan Porteous, LMSW
• Felicia Potter
• Rachel Potter
• William Phillip Potthoff Jr., M.D.
• William Phillip Potthoff, M.D.
• Katelynn J Potts

• Behavior Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.