Madeline Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

17-44849 Issued in AL

Practice address

7022 Sardis Rd
Charlotte, NC 28270-6058

Phone

(704) 366-8260

NPI assigned

Dec 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milestones Behavior Group

  • Behavior Analyst
  • Vestavia, AL
  • NPI 1457867541
  NPD (past)

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1316453400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7022 SARDIS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282706058",
            "telephone_number": "704-366-8260",
            "fax_number": "704-366-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7022 SARDIS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282706058",
            "telephone_number": "704-366-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3296 Cahaba Heights Rd # 20",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352431653",
            "country_code": "US",
            "telephone_number": "205-253-6903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "AL",
            "license": "RBT-17-44849",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "17-44849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1316453400",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msmith@cyznerinstitute.com",
            "affiliation": "N",
            "address_1": "7022 Sardis Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282706058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah F. Smith, FNP
• Linda M Smith, MA, LPC, NCC
• Lisa Kathryn Smith, MSN, APRN, NP-C
• Lois Kachwer Smith, CRNP
• Lydia Boldt Smith, PH.D., LPC
• Madison Karah Smith, LCMHCA
• Maia Smith
• Margaret Pope Smith, MD
• Margerie Cavell Smith, PA
• Mark David Smith, MD

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.