Individual provider Active NPI

Molly McCartney, RBT

  • Behavior Analyst
  • Dupont, WA
National Provider Identifier
1043825359
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
61097392 Issued in WA
Practice address
1570 Wilmington Dr Ste 220
Dupont, WA 98327-8773
Phone
(206) 453-4882
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 61097392 WA Primary

Addresses

Primary practice location

1570 Wilmington Dr Ste 220
Dupont, WA 98327-8773

Mailing address

3213 W Wheeler St # 302
Seattle, WA 98199-3245
Phone (206) 453-4882

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address McCullough@magnoliabehaviortherapy.com Other

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

State licenses

LicenseStateTypeSpecialty
61097392WAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1043825359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 W WHEELER ST # 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993245",
            "telephone_number": "206-453-4882",
            "fax_number": "206-453-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR STE 220",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "206-453-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "MOLLY",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "61097392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "McCullough@magnoliabehaviortherapy.com",
            "affiliation": "N",
            "endpointDescription": "Contact person",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact person",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact person",
            "address_1": "1570 Wilmington Dr Ste 220",
            "city": "DuPont",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983278773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.