Active NPI
Kelly McSorley
- Behavior Technician
- Raleigh, NC
National Provider Identifier
1275277683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4900 Waters Edge Dr Ste 100
Raleigh, NC 27606-5662 - Phone
- (919) 303-1255
- Fax
- (919) 573-9474
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
4900 Waters Edge Dr Ste 100
Raleigh, NC 27606-5662
Mailing address
208 Slateworth Dr
Durham, NC 27703-6166
Phone (860) 882-8105
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learn With the Best Day Program, LLC | Current | Accepting new patients | |
| Learn With the Best LLC | Current | Accepting new patients |
Locations
4900 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 303-1255
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1225763535
-
- Behavior Analyst
- Raleigh, NC
- NPI 1376097626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1275277683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 SLATEWORTH DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277036166",
"telephone_number": "860-882-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 WATERS EDGE DR STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276065662",
"telephone_number": "919-303-1255",
"fax_number": "919-573-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSORLEY",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.