Jamie M Severtson, PH.D., BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4515

Practice address

3000 Alsup Dr
Columbia, MO 65203-0802

Phone

(573) 825-0233

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Rocket Behavioral Health Services, LLC

  • Behavior Analyst
  • Columbia, MO
  • NPI 1619300233
  NPD (past) Authorized official

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1326285016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30822",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652053822",
            "telephone_number": "573-825-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALSUP DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030802",
            "telephone_number": "573-825-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERTSON",
        "first_name": "JAMIE",
        "middle_name": "M",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-08-4515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjna Sethi, MD
• Anmol Sethi, DDS
• Yash Pal Sethi, MD
• Sarah Elizabeth Severance, M.D.
• Tyler S Severance, M.D.
• Amanda Sevits, FNP-C
• Maggie Lynn Sevrin, DO
• Casey Ann Sevy, D.O.
• Lydia Sexton
• Mathew Dean Sexton

• Behavior Analyst in Columbia, MO
• Providers in Columbia, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.