Individual provider Active NPI

Morgan Michaelson

  • Behavior Analyst
  • Kenmore, WA
National Provider Identifier
1235590209
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
201337841
Practice address
7611 NE 165TH St
Kenmore, WA 98028-4477
Phone
(971) 219-5562
NPI assigned
Mar 17, 2016
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 201337841 Primary

Addresses

Primary practice location

7611 NE 165TH St
Kenmore, WA 98028-4477

Mailing address

185 Sierra Dr Apt 215
Walnut Creek, CA 94596-4955

Other practice location 1

185 Sierra Dr Apt 215
Walnut Creek, CA 94596-4955
Phone (971) 219-5562

Other identifiers 1

IdentifierTypeStateIssuer
1962726752OtherFIRSTSTEPS FOR KIDS, INC.

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

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1235590209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SIERRA DR APT 215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 NE 165TH ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284477",
            "telephone_number": "971-219-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Sierra Dr Apt 215",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964955",
            "country_code": "US",
            "telephone_number": "971-219-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "201337841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTSTEPS FOR KIDS, INC.",
            "identifier": "1962726752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.