Kasey Anne McCullough

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2348 Post Rd Ste 107
Warwick, RI 02886-2271

Phone

(401) 681-4637

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1003570847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VETERANS MEMORIAL PKWY APT 202",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145070",
            "telephone_number": "203-240-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 POST RD STE 107",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862271",
            "telephone_number": "401-681-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "KASEY ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron McConkey
• Douglas Anthony McCormack Jr., MSW
• Lance C McCormack, LCDP
• Maureen McCourt
• John McCue, M.D.
• Kelly Ann McDermott, LMFTA
• Edward J McDonald, R.O.
• Kimberly Ann McDonough, ANCP-BC
• Erin McDowell, LMHC
• Janet M McElroy, LMHC LMFT

• Behavior Analyst in Warwick, RI
• Providers in Warwick, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.