EASTERN MICHIGAN UNIVERSITY NPI 1568730281

NPI Information

  • NPI: 1568730281
  • Provider Name: EASTERN MICHIGAN UNIVERSITY
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: AUTISM COLLABORATIVE CENTER
  • Address: 1055 CORNELL RD
    FLETCHER BUILDING,
    YPSILANTI, MI
    ZIP 48197
  • Phone: (734) 485-2890

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NPI Details

EASTERN MICHIGAN UNIVERSITY is a specialist in Ypsilanti, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASTERN MICHIGAN UNIVERSITY NPI is 1568730281. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Autism Collaborative Center.

The provider's business location address is:

1055 CORNELL RD
FLETCHER BUILDING,
YPSILANTI, MI
ZIP 48197-657
Phone: (734) 485-2890

The provider's authorized official is Kristine Lynn Kastle-ruether .
The authorized official title is Managing Director and has the following contact phone number (734) 487-2890.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 1/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical1780989020MICHIGANNo
2174400000XSpecialist5201007984MICHIGANYes
3174400000XSpecialist1699070656MICHIGANNo
4174400000XSpecialist23317193MICHIGANNo
5235Z00000XSpeech-Language Pathologist1215113246MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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