Madison Phipps, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-156011

Practice address

2475 W Chicago St
Rapid City, SD 57702-2467

Phone

(605) 206-5004

Fax

(605) 646-4840

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

No

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.

• Black Hills Behavior, LLC

  • Behavior Analyst
  • Rapid City, SD
  • NPI 1619442522

  Behavior Technician

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2021.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1245823616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 W CHICAGO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022467",
            "telephone_number": "605-206-5004",
            "fax_number": "605-646-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W CHICAGO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022467",
            "telephone_number": "605-206-5004",
            "fax_number": "605-646-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "MADISON",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-21-156011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Corporation of America
• Carson Phillips
• Elizabeth Phillips, MNT
• Jane Phillips, RDH
• Pamela Kim Phillips, MD
• Michael A Phipps, CRNA
• Physio Performance, Prof. LLC
• Maya Elizabeth Pi
• Lisa Picotte, RN
• Raymond L Pierce, M.D.

• All providers in Rapid City, SD
• Behavior Technician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.