Active NPI
Erin Marie McDermott
- Behavior Technician
- McMinnville, OR
National Provider Identifier
1104446509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-QMHA-R-1173
- Practice address
- 627 NE Evans St
McMinnville, OR 97128-3923 - Phone
- (971) 312-2077
- NPI assigned
- Apr 26, 2020
- Sex
- Female
- 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 Technician | 106S00000X | 21-QMHA-R-1173 | OR | Primary |
Addresses
Primary practice location
627 NE Evans St
McMinnville, OR 97128-3923
Mailing address
627 NE Evans St
McMinnville, OR 97128-3923
Phone (971) 312-2077
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 |
|---|---|---|---|
| 21-QMHA-R-1173 | OR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1104446509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 NE EVANS ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971283923",
"telephone_number": "971-312-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 NE EVANS ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971283923",
"telephone_number": "971-312-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "ERIN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-26",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": "21-QMHA-R-1173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.