Individual provider Active NPI

Rachel Day Macdougall, M.S BCBA

  • Behavior Analyst
  • Encinitas, CA
National Provider Identifier
1053656314
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
01-12-12587 Issued in CA
Practice address
920 Hymettus Ave # 2
Encinitas, CA 92024-2153
Phone
(603) 770-1089
NPI assigned
Nov 27, 2012
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 01-12-12587 CA Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

920 Hymettus Ave # 2
Encinitas, CA 92024-2153

Mailing address

520 Newport Center Dr Ste 550
Newport Beach, CA 92660-7020
Phone (603) 770-1089

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1053656314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NEWPORT CENTER DR STE 550",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607020",
            "telephone_number": "603-770-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HYMETTUS AVE # 2",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242153",
            "telephone_number": "603-770-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "RACHEL",
        "middle_name": "DAY",
        "name_prefix": "Miss",
        "credential": "M.S BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "01-12-12587",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.