Individual provider Active NPI

Cheryl McPhail, MS.,BCBA

  • Behavior Analyst
  • Mount Airy, MD
National Provider Identifier
1225501901
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-36169 Issued in FL
Practice address
505 Windy Knoll Dr Unit 323
Mount Airy, MD 21771-6614
Phone
(240) 668-4415
Fax
(240) 673-6322
NPI assigned
Jan 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA2021 MD
Behavior Analyst 103K00000X 1-19-36169 FL Primary

Addresses

Primary practice location

505 Windy Knoll Dr Unit 323
Mount Airy, MD 21771-6614

Mailing address

211 Spencer St
Orlando, FL 32839-1449
Phone (754) 423-2392

Other identifiers 1

IdentifierTypeStateIssuer
022468900MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA2021MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Breyta Behavioral Health LLC Behavior Analyst CurrentSince Jan 19, 2025 Accepting new patients
Premiere Behavioral Supports Past Accepting new patients
Aponte & Klein Inc. Behavior Analyst Past Accepting new patients
ABA Healthcare, Inc. Behavior Analyst Past Accepting new patients

Locations

505 Windy Knoll Dr
Unit 323
Mount Airy, MD 21771
Phone (240) 668-4415

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.

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1225501901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SPENCER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391449",
            "telephone_number": "754-423-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WINDY KNOLL DR UNIT 323",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217716614",
            "telephone_number": "240-668-4415",
            "fax_number": "240-673-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHAIL",
        "first_name": "CHERYL",
        "credential": "MS.,BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-06",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA2021",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-36169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022468900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.