Individual provider Active NPI

Sally McKeever

  • Behavior Analyst
  • Middleburg Heights, OH
National Provider Identifier
1215443684
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-48526 Issued in OH
Practice address
16560 Commerce CT Ste a&B
Middleburg Heights, OH 44130-6305
Phone
(855) 295-3276
Fax
(888) 588-2752
NPI assigned
Dec 21, 2017
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 515 HI
Behavior Analyst 103K00000X 1-21-48526 OH Primary
Assistant Behavior Analyst 106E00000X 0-18-8974 NU
Behavior Technician 106S00000X RBT-15-11673 NU

Addresses

Primary practice location

16560 Commerce CT Ste a&B
Middleburg Heights, OH 44130-6305

Mailing address

1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Phone (818) 241-6780

Other practice location 1

111 Hekili St Ste A406
Kailua, HI 96734-2800
Phone (808) 489-3548

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
515HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Synergy Center Past Accepting new patients

Organizations & group practices 1

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1215443684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S MAYFLOWER AVE STE 220",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165239",
            "telephone_number": "818-241-6780",
            "fax_number": "888-588-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16560 COMMERCE CT STE A&B",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306305",
            "telephone_number": "855-295-3276",
            "fax_number": "888-588-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hekili St Ste A406",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342800",
            "country_code": "US",
            "telephone_number": "808-489-3548",
            "fax_number": "808-443-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "SALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "515",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-21-48526",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": "0-18-8974",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-15-11673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.