Active NPI
Kaitlyn D Rich
- Behavior Analyst
- Lakewood, CO
National Provider Identifier
1205473485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7220 W Jefferson Ave Ste 202
Lakewood, CO 80235-2023 - Phone
- (303) 225-7673
- NPI assigned
- Dec 5, 2019
- Last updated
- Apr 15, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-41218 | CO | |
| Behavior Technician | 106S00000X | IL | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7220 W Jefferson Ave Ste 202
Lakewood, CO 80235-2023
Mailing address
18027 Pin Oak CT
Tinley Park, IL 60477-4148
Phone (708) 601-3453
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 |
|---|---|---|---|
| MPS Healthcare Inc | Behavior Analyst | Past | Accepting new patients |
| MPS Health Care | 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": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1205473485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18027 PIN OAK CT",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604774148",
"telephone_number": "708-601-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 W JEFFERSON AVE STE 202",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352023",
"telephone_number": "303-225-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "KAITLYN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-20-41218",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.