RISE CENTER FOR AUTISM (NPI# 1538698576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538698576 |
| Entity Type | Organization |
| Organization Name | RISE CENTER FOR AUTISM |
| Practice Address |
1840 W Houghton Lake Dr Unit 2 Prudenville MI 48651-9672 |
| Mailing Address |
140 Algonquin Dr Houghton Lake MI 48629-9356 |
| Practice Telephone | 9899653274 |
| Mailing Telephone | 9899653274 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. MARGARET YVONNE FICAJ (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9892025737 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1840 W HOUGHTON LAKE DR UNIT 2 |
| City | PRUDENVILLE |
| State | MI |
| Zip Code | 48651-9672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185542 | Michelle Sue Johnson | Behavior Technician | 1840 W Houghton Lake Dr Unit 2, Prudenville, MI 48651-9672 | 2018-08-22 |
| 1497241137 | Sarah Evelyn Rondo | Behavior Technician | 1840 W Houghton Lake Dr Unit 2, Prudenville, MI 48651-9672 | 2018-07-05 |
| 1225523954 | Taylor L Gray | Behavior Technician | 1840 W Houghton Lake Dr Unit 2, Prudenville, MI 48651-9672 | 2018-06-25 |
| 1629587936 | Jennifer Rose Smith | Behavior Technician | 1840 W Houghton Lake Dr Unit 2, Prudenville, MI 48651-9672 | 2017-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469036 | Stephenie Irish | Behavior Technician | Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 | 2018-09-04 |
| 1083965404 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Drive, Prudenville, MI 48651 | 2012-09-25 |
| 1609976968 | Kronner Pharmacy Inc | Pharmacy | 778 W Houghton Lake Dr, Prudenville, MI 48651 | 2006-09-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1053381871 | Marvin Earl Mcelroy | Internal Medicine | 1064 W West Branch Rd, Prudenville, MI 48651 | 2006-01-24 |
| 1598390080 | Rhiannon Burch | Behavior Technician | Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 | 2020-03-05 |
| 1629357090 | Mclaren Bay Region | Nurse Practitioner | 200 Grand Ave, Prudenville, MI 48651 | 2011-08-16 |
| 1427320894 | Patricia Henning Caswell | Counselor | 1401 Short Dr., Prudenville, MI 48651-0019 | 2012-02-01 |
| 1023015104 | Suzanne A Blanchard | Nurse Practitioner | 1401 Short Drive, Prudenville, MI 48651-0019 | 2005-07-05 |
| 1023640992 | Julie Ignatowski | Speech-Language Pathologist | 847 Springwood Dr, Prudenville, MI 48651-8405 | 2020-02-10 |
| Find all providers in zip 48651 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376700294 | General and Internal Medicine | Clinic/Center | 1064 W West Branch Rd, Prudenville, MI 48651-9468 | 2008-05-19 |
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| Find all providers with the same taxonomy | ||||
| City | PRUDENVILLE |
| Zip Code | 48651 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.