Active NPI
Michaela Dervin
- Behavior Technician
- Overland Park, KS
National Provider Identifier
1164098224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10551 Barkley St Ste 205
Overland Park, KS 66212-1812 - Phone
- (785) 760-0137
- NPI assigned
- May 31, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
10551 Barkley St Ste 205
Overland Park, KS 66212-1812
Mailing address
PO Box 860063
Shawnee, KS 66286-0063
Phone (913) 213-0676
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 |
|---|---|---|---|
| Dr Ostmeyer LLC | Behavior Technician | Current | Accepting new patients |
| Beyond the Individual | Current | Accepting new patients | |
| Wyandot Center for Community Behavioral Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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
- Overland Park, KS
- NPI 1265052831
-
- Community/Behavioral Health Agency
- Kansas City, KS
- NPI 1629159389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1164098224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860063",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662860063",
"telephone_number": "913-213-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10551 BARKLEY ST STE 205",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121812",
"telephone_number": "785-760-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERVIN",
"first_name": "MICHAELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-31",
"last_updated": "2021-05-31",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.