Active NPI
Michael Rocco Magnotta, BCABA
- Behavior Analyst
- Milford, CT
National Provider Identifier
1114551124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1283
- Practice address
- 326 W Main St Ste 210
Milford, CT 06460-2560 - Phone
- (203) 283-7027
- NPI assigned
- Feb 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 1283 | CT | Primary |
Addresses
Primary practice location
326 W Main St Ste 210
Milford, CT 06460-2560
Mailing address
26 Broad St
Milford, CT 06460-3350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-53025 | Other | CT | BOARD CERTIFIED BEHAVIOR ANALYST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaelm@michelleragozzine.com | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Ragozzine & Associates | Behavior Analyst | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Milford, CT
- NPI 1619234846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1114551124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BROAD ST",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W MAIN ST STE 210",
"city": "MILFORD",
"state": "CT",
"postal_code": "064602560",
"telephone_number": "203-283-7027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNOTTA",
"first_name": "MICHAEL",
"middle_name": "ROCCO",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-28",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "1-21-53025",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaelm@michelleragozzine.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "26 Broad St",
"city": "Milford",
"state": "CT",
"country_code": "US",
"postal_code": "064603350",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.