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TES THERAPY
Complete NPI Record 1194145342
Behavior Analyst in Troy, MI

NPI Status: Active since April 25, 2014

Contact Information

1742 CROOKS RD
TROY, MI
ZIP 48084
Phone: (248) 544-0360

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Middle Name
  24. Authorized Official Title or Position
  25. Authorized Official Telephone Number
  26. Healthcare Provider Taxonomy Code 1
  27. Provider License Number State Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Healthcare Provider Taxonomy Code 2
  30. Provider License Number State Code 2
  31. Healthcare Provider Primary Taxonomy Switch 2
  32. Healthcare Provider Taxonomy Code 3
  33. Provider License Number State Code 3
  34. Healthcare Provider Primary Taxonomy Switch 3
  35. Healthcare Provider Taxonomy Code 4
  36. Healthcare Provider Primary Taxonomy Switch 4
  37. Healthcare Provider Taxonomy Code 5
  38. Healthcare Provider Primary Taxonomy Switch 5
  39. Healthcare Provider Taxonomy Code 6
  40. Healthcare Provider Primary Taxonomy Switch 6
  41. Healthcare Provider Taxonomy Code 7
  42. Provider License Number State Code 7
  43. Healthcare Provider Primary Taxonomy Switch 7
  44. Healthcare Provider Taxonomy Code 8
  45. Provider License Number State Code 8
  46. Healthcare Provider Primary Taxonomy Switch 8
  47. Healthcare Provider Taxonomy Code 9
  48. Provider License Number State Code 9
  49. Healthcare Provider Primary Taxonomy Switch 9
  50. Healthcare Provider Taxonomy Code 10
  51. Provider License Number State Code 10
  52. Healthcare Provider Primary Taxonomy Switch 10
  53. Healthcare Provider Taxonomy Code 11
  54. Provider License Number State Code 11
  55. Healthcare Provider Primary Taxonomy Switch 11
  56. Is Organization Subpart
  57. Healthcare Provider Taxonomy Group 1
  58. Healthcare Provider Taxonomy Group 2
  59. Healthcare Provider Taxonomy Group 3
  60. Healthcare Provider Taxonomy Group 4
  61. Healthcare Provider Taxonomy Group 5
  62. Healthcare Provider Taxonomy Group 6
  63. Healthcare Provider Taxonomy Group 7
  64. Healthcare Provider Taxonomy Group 8
  65. Healthcare Provider Taxonomy Group 9
  66. Healthcare Provider Taxonomy Group 10
  67. Healthcare Provider Taxonomy Group 11
  68. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1194145342. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1194145342
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: TES THERAPY
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 99 PASADENA AVE STE 10C
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: SOUTH PASADENA
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 910306142
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 3234041026
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 1742 CROOKS RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: TROY
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MI
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 480845501
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 2485440360
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/25/2014
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/22/2023
The date that a record was last updated or changed.
Authorized Official Last Name: MEDINA
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: MORGAN
The first name of the authorized official.
Authorized Official Middle Name: BEHNY
The middle name of the authorized official.
Authorized Official Title or Position: DIRECTOR
The title or position of the authorized official.
Authorized Official Telephone Number: 3234041026
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 106E00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1: MI
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 106S00000X
Provider License Number State Code 2: MI
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 224Z00000X
Provider License Number State Code 3: MI
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 225100000X
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 2251P0200X
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 225200000X
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 225X00000X
Provider License Number State Code 7: MI
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 225XF0002X
Provider License Number State Code 8: MI
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 225XP0200X
Provider License Number State Code 9: MI
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 235Z00000X
Provider License Number State Code 10: MI
Healthcare Provider Primary Taxonomy Switch 10: N
Healthcare Provider Taxonomy Code 11: 103K00000X
Provider License Number State Code 11: MI
Healthcare Provider Primary Taxonomy Switch 11: Y
Is Organization Subpart: N
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date: 6/22/2023