Active NPI
Martinese Gregory
- Case Manager/Care Coordinator
- Wayne, MI
National Provider Identifier
1982369864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 35425 W Michigan Ave
Wayne, MI 48184-9800 - Phone
- (734) 725-1706
- Fax
- (734) 326-7472
- NPI assigned
- Nov 4, 2021
- Last updated
- Oct 14, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
35425 W Michigan Ave
Wayne, MI 48184-9800
Mailing address
35425 W Michigan Ave
Wayne, MI 48184-9800
Phone (734) 725-1706
Other practice location 1
7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157
Phone (313) 710-8744
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Past | Accepting new patients |
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, 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": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1982369864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35425 W MICHIGAN AVE",
"city": "WAYNE",
"state": "MI",
"postal_code": "481849800",
"telephone_number": "734-725-1706",
"fax_number": "734-326-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35425 W MICHIGAN AVE",
"city": "WAYNE",
"state": "MI",
"postal_code": "481849800",
"telephone_number": "734-725-1706",
"fax_number": "734-326-7472"
}
],
"practiceLocations": [
{
"address_1": "7375 Woodward Ave Ste 2800",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023157",
"country_code": "US",
"telephone_number": "313-710-8744",
"fax_number": "855-568-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "MARTINESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.