IndividualActive
Charlie Bothuell
NPI 1881550226 · Behavior Technician · Southgate, MI
Charlie Bothuell is a Behavior Technician provider in Southgate, MI (NPI 1881550226).
Provider details
- NPI number
- 1881550226
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1 Heritage Dr Ste 100
Southgate, MI 48195-3047
Phone: (734) 767-2250
Street-level locationGet directions
Mailing address
1 Heritage Dr Ste 100
Southgate, MI 48195-3047
Registry dates
- Enumerated
- 2025-12-30
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Frequently asked questions
- What is Charlie Bothuell's NPI number?
- Charlie Bothuell's National Provider Identifier (NPI) is 1881550226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charlie Bothuell's specialty?
- Charlie Bothuell is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Charlie Bothuell located?
- Charlie Bothuell's practice location on file with NPPES is 1 Heritage Dr Ste 100, Southgate, MI 48195-3047.
- What is Charlie Bothuell's phone number?
- The practice phone number listed in the NPPES registry for Charlie Bothuell is (734) 767-2250.
- Is Charlie Bothuell's NPI active?
- Yes — Charlie Bothuell's NPI (1881550226) is active in the NPPES registry as of the last update on 2025-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.