Active NPI
Nicholas Timothy Rodd
- Behavior Analyst
- Woodland Hills, CA
National Provider Identifier
1053958009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- D6309686
- Practice address
- 21600 Oxnard St
Woodland Hills, CA 91367-4976 - Phone
- (818) 345-2345
- NPI assigned
- Dec 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | D6309686 | CA | Primary |
Addresses
Primary practice location
21600 Oxnard St
Woodland Hills, CA 91367-4976
Mailing address
9824 White Oak Ave
Northridge, CA 91325-1342
Phone (818) 749-7995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XEQ908824204 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D6309686 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1053958009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9824 WHITE OAK AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913251342",
"telephone_number": "818-749-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976",
"telephone_number": "818-345-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODD",
"first_name": "NICHOLAS",
"middle_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "D6309686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XEQ908824204",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.