IndividualActive
Gwendolyn Mccormack
NPI 1396597654 · Behavior Technician · Portage, MI
Gwendolyn Mccormack is a Behavior Technician provider in Portage, MI (NPI 1396597654).
Provider details
- NPI number
- 1396597654
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5250 Lovers Ln Ste 130
Portage, MI 49002-1579
Phone: (269) 425-1536
Street-level locationGet directions
Mailing address
2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791
Registry dates
- Enumerated
- 2024-04-02
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Gwendolyn Mccormack's NPI number?
- Gwendolyn Mccormack's National Provider Identifier (NPI) is 1396597654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gwendolyn Mccormack's specialty?
- Gwendolyn Mccormack is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Gwendolyn Mccormack located?
- Gwendolyn Mccormack's practice location on file with NPPES is 5250 Lovers Ln Ste 130, Portage, MI 49002-1579.
- What is Gwendolyn Mccormack's phone number?
- The practice phone number listed in the NPPES registry for Gwendolyn Mccormack is (269) 425-1536.
- Is Gwendolyn Mccormack's NPI active?
- Yes — Gwendolyn Mccormack's NPI (1396597654) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.