Individual provider Active NPI

Catherine Lynch

  • Behavior Analyst
  • West Warwick, RI
National Provider Identifier
1124565536
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA00150 Issued in RI
Practice address
1 Teddy CT
West Warwick, RI 02893-2277
Phone
(401) 684-0050
NPI assigned
Jan 23, 2017
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA00150 RI Primary

Addresses

Primary practice location

1 Teddy CT
West Warwick, RI 02893-2277

Mailing address

PO Box 40243
Providence, RI 02940-0243

Other practice location 1

160 Beechwood Ave
Pawtucket, RI 02860-5402
Phone (401) 722-5573

Other practice location 2

628 Park Ave Ste 1D
Cranston, RI 02910-2144
Phone (401) 228-8303

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

LicenseStateTypeSpecialty
LBA00150RIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Healthcare, Inc Past Accepting new patients
Gateway Healthcare Inc Past Accepting new patients

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, 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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1124565536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40243",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029400243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TEDDY CT",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932277",
            "telephone_number": "401-684-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Beechwood Ave",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605402",
            "country_code": "US",
            "telephone_number": "401-722-5573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 Park Ave Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029102144",
            "country_code": "US",
            "telephone_number": "401-228-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.