Individual provider Active NPI

Gregory Michael McGregor

  • Behavior Technician
  • Spring, TX
National Provider Identifier
1164070462
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
17-32938 Issued in TX
Practice address
17810 Spring Creek Forest Dr
Spring, TX 77379-4290
Phone
(281) 378-6887
NPI assigned
Aug 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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 17-32938 TX Primary

Addresses

Primary practice location

17810 Spring Creek Forest Dr
Spring, TX 77379-4290

Mailing address

17810 Spring Creek Forest Dr
Spring, TX 77379-4290
Phone (281) 378-6887

Other practice location 1

17050 Imperial Valley Dr Apt 228
Houston, TX 77060-2853
Phone (281) 378-6887

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
17-32938TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1164070462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 SPRING CREEK FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794290",
            "telephone_number": "281-378-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17810 SPRING CREEK FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794290",
            "telephone_number": "281-378-6887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17050 Imperial Valley Dr Apt 228",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770602853",
            "country_code": "US",
            "telephone_number": "281-378-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGREGOR",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "17-32938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.