Active NPI
Madeline Klingensmith, BCBA
- Behavior Analyst
- Lombard, IL
National Provider Identifier
1134628340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-51231
- Practice address
- 44 W Roosevelt Rd
Lombard, IL 60148-4402 - Phone
- (855) 528-8476
- NPI assigned
- Feb 3, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT1848602 | ||
| Behavior Analyst | 103K00000X | 1-21-51231 | IL | Primary |
Addresses
Primary practice location
44 W Roosevelt Rd
Lombard, IL 60148-4402
Mailing address
44 W Roosevelt Rd
Lombard, IL 60148-4402
Phone (855) 528-8476
Other practice location 1
6199 Horizon Heights Dr
Kalamazoo, MI 49009-9105
Phone (443) 201-2217
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 |
|---|---|---|---|
| Little Red Car ABA Services, LLC | Behavior Analyst | Past | Accepting new patients |
| Autism Behavior Therapy | Behavior Analyst | Past | Accepting new patients |
| Autism Behavior Therapy | Behavior Analyst | Past | Accepting new patients |
| Autism Behavior Clinic Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Burr Ridge, IL
- NPI 1235830803
Behavior Analyst
-
- Behavior Analyst
- Oak Lawn, IL
- NPI 1144906223
-
- Behavior Analyst
- Burr Ridge, IL
- NPI 1649711573
-
- Behavior Analyst
- Kalamazoo, MI
- NPI 1679801070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1134628340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 W ROOSEVELT RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484402",
"telephone_number": "855-528-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 W ROOSEVELT RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484402",
"telephone_number": "855-528-8476"
}
],
"practiceLocations": [
{
"address_1": "6199 Horizon Heights Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490099105",
"country_code": "US",
"telephone_number": "443-201-2217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLINGENSMITH",
"first_name": "MADELINE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-03",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT1848602",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-21-51231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.