Active NPI
Kelly Elaine Richey, B.S
- Behavior Technician
- Boyne City, MI
National Provider Identifier
1245975705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1723924
- Practice address
- 214 Water St
Boyne City, MI 49712-2203 - Phone
- (231) 675-3150
- NPI assigned
- Apr 29, 2022
- 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 Technician | 106S00000X | 1723924 | IL | Primary |
Addresses
Primary practice location
214 Water St
Boyne City, MI 49712-2203
Mailing address
214 Water St
Boyne City, MI 49712-2203
Phone (231) 675-3150
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1723924 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1245975705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 WATER ST",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497122203",
"telephone_number": "231-675-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 WATER ST",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497122203",
"telephone_number": "231-675-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHEY",
"first_name": "KELLY",
"middle_name": "ELAINE",
"credential": "B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "1723924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boyne City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.