NPIMap

Organization Active NPI

Autism Systems LLC

  • Behavior Analyst
  • Fort Gratiot, MI
National Provider Identifier
1972030724
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-79 Issued in HI
Legal business name
AUTISM SYSTEMS LLC
Practice address
3245 Keewahdin Rd
Fort Gratiot, MI 48059-3498
Phone
(989) 401-2244
Fax
(800) 562-3347
NPI assigned
May 11, 2017
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Mrs. Ruchi Bhardwaj
Title
Owner
Phone
(248) 228-0502

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X BA-79 HI Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

3245 Keewahdin Rd
Fort Gratiot, MI 48059-3498

Mailing address

5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450
Phone (248) 228-0502

Other practice location 1

6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655
Phone (248) 228-0502

Other practice location 2

439 S Parker St
Marine City, MI 48039-3511
Phone (989) 401-2244

Other practice location 3

400 S State St
Oscoda, MI 48750-1655
Phone (989) 569-6209

Other practice location 4

195 Huron Blvd
Marysville, MI 48040-1421
Phone (810) 662-3721

National Provider Directory

National Provider Directory

Locations

6296 Bridgeport Village Square Dr
Ste 2
Bridgeport, MI 48722
Phone (989) 401-1139

3245 Keewahdin Rd
Fort Gratiot, MI 48059
Phone (810) 937-2345

209 S State St
Oscoda, MI 48750
Phone (989) 335-3334

400 S State St
Oscoda, MI 48750
Phone (989) 335-0151

6200 State St
Ste 3
Saginaw, MI 48603

28241 Mound Rd
Warren, MI 48092
Phone 9894012244 ext. 1017

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1972030724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 VILLA LINDE PKWY STE 30",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323450",
            "telephone_number": "248-228-0502",
            "fax_number": "800-562-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 KEEWAHDIN RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593498",
            "telephone_number": "989-401-2244",
            "fax_number": "800-562-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6296 Bridgeport Village Square Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "MI",
            "postal_code": "487229655",
            "country_code": "US",
            "telephone_number": "248-228-0502",
            "fax_number": "800-562-3347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 S Parker St",
            "address_purpose": "LOCATION",
            "city": "Marine City",
            "state": "MI",
            "postal_code": "480393511",
            "country_code": "US",
            "telephone_number": "989-401-2244",
            "fax_number": "800-562-3347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S State St",
            "address_purpose": "LOCATION",
            "city": "Oscoda",
            "state": "MI",
            "postal_code": "487501655",
            "country_code": "US",
            "telephone_number": "989-569-6209",
            "fax_number": "800-562-3347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Huron Blvd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "MI",
            "postal_code": "480401421",
            "country_code": "US",
            "telephone_number": "810-662-3721",
            "fax_number": "800-562-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTISM SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BHARDWAJ",
        "authorized_official_first_name": "RUCHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-228-0502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-79",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gratiot, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.