Individual provider Active NPI

Megan E Yurish

  • Behavior Technician
  • Pottsville, PA
National Provider Identifier
1114661196
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
150 Chamberlaine Ave
Pottsville, PA 17901-8648
Phone
(570) 593-5484
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

150 Chamberlaine Ave
Pottsville, PA 17901-8648

Mailing address

184 Red Rock Rd
Sugarloaf, PA 18249-3556

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
Gym-Jam Therapeutics, Inc. Behavior Analyst CurrentSince Apr 16, 2023 Accepting new patients
Pivotal Interventions, Inc Behavior Analyst CurrentSince Apr 16, 2023 Accepting new patients

Locations

150 Chamberlaine Ave
Pottsville, PA 17901
Phone (570) 593-5484

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1114661196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 RED ROCK RD",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182493556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHAMBERLAINE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018648",
            "telephone_number": "570-593-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURISH",
        "first_name": "MEGAN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.