Active NPI
Kathleen McCarthy
- Behavior Analyst
- Valley Park, MO
National Provider Identifier
1316480544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2015001980
- Practice address
- 953 Wynstay Cir
Valley Park, MO 63088-1445 - Phone
- (314) 920-2143
- NPI assigned
- Nov 20, 2016
- 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 Analyst | 103K00000X | 2015001980 | MO | Primary |
Addresses
Primary practice location
953 Wynstay Cir
Valley Park, MO 63088-1445
Mailing address
953 Wynstay Cir
Valley Park, MO 63088-1445
Phone (314) 920-2143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015001980 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Services for Children | Past | Accepting new patients | |
| Stepping Stones Behavioral Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Valley Park, MO
- NPI 1114441334
-
- Speech-Language Pathologist
- Saint Charles, MO
- NPI 1245436344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479600000000",
"number": "1316480544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 WYNSTAY CIR",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630881445",
"telephone_number": "314-920-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 WYNSTAY CIR",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630881445",
"telephone_number": "314-920-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-20",
"last_updated": "2016-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2015001980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Park, MO
- Candice Marie Hudson, RPT
- Kelly Kiley Knighten, AU.D., CCC-A
- Lesley Lafleur
- Elizabeth Lillmars-Stephens, FNP-C
- Mark Mandell, LPC, NCC, ME.D.
- Kristel Leigh McNorton-Mabie, M.A., LPC
- Meramec Valley Dental, Laura Hoover, DMD
- Michael James LLC (Michael James)
- Michele Ann Roberts, P C
- Missouri Dental Professionals, Richard Straus, DMD, PC (Valley Park Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.