Individual provider Active NPI

Sara Evelyn McKechnie

  • Behavior Analyst
  • Acton, MA
National Provider Identifier
1104220953
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25816
Practice address
20 Main St Ste G
Acton, MA 01720-3575
Phone
(978) 263-1427
NPI assigned
Oct 21, 2014
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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 1-17-25816 Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

20 Main St Ste G
Acton, MA 01720-3575

Mailing address

33 Turnpike Rd
Southborough, MA 01772-2108
Phone (508) 481-1015

Other practice location 1

33 Turnpike Rd
Southborough, MA 01772-2108
Phone (508) 481-1015 ext. 3109

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
The New England Center for Children, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1104220953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TURNPIKE RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722108",
            "telephone_number": "508-481-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST STE G",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203575",
            "telephone_number": "978-263-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Turnpike Rd",
            "address_purpose": "LOCATION",
            "city": "Southborough",
            "state": "MA",
            "postal_code": "017722108",
            "country_code": "US",
            "telephone_number": "508-481-1015 x3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKECHNIE",
        "first_name": "SARA",
        "middle_name": "EVELYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-25816",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.