Individual provider Active NPI

Kaitlin Marie Kloes Greeny

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1003152992
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4746 11TH Ave NE Ste 102
Seattle, WA 98105-4660
Phone
(205) 535-8876
Fax
(205) 486-9938
NPI assigned
Dec 20, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4746 11TH Ave NE Ste 102
Seattle, WA 98105-4660

Mailing address

4746 11TH Ave NE Ste 102
Seattle, WA 98105-4660
Phone (206) 535-8876

Other practice location 1

3003 Northup Way
Suite 200
Bellevue, WA 98004-1471
Phone (425) 822-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Behavior Consulting & Therapy, LLC Behavior Analyst Past Accepting new patients
Northwest Behavioral Associates Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003152992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 11TH AVE NE STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054660",
            "telephone_number": "206-535-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 11TH AVE NE STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054660",
            "telephone_number": "205-535-8876",
            "fax_number": "205-486-9938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Northup Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041471",
            "country_code": "US",
            "telephone_number": "425-822-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENY",
        "first_name": "KAITLIN",
        "middle_name": "MARIE KLOES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.