Active NPI
Morgan Michaelson
- Behavior Analyst
- Kenmore, WA
National Provider Identifier
1235590209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962726752 | Other | FIRSTSTEPS 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
- Mercedes Alice, Arnp, LLC (Ebb and Flow Mental Health)
- Carol Micek
- Michael Conway DDS PLLC (Kenmore Dental)
- Michael E McDade DDS
- Emelia Nevada Michaelson, NREMT
- Lady-Diaesha Latiesh Middleton-Benjamin, LPN
- Joseph Midgett, DPT
- Rebekah Jacqueline Miller Afsari, N.D., LMP
- Allan David Minahan, DDS
- David Michael Minahan, DDS
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.