Nicholas W Madgen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

42 Elochoman Valley Rd
Cathlamet, WA 98612-9602

Phone

(360) 795-8630

Fax

(360) 795-6224

NPI assigned

May 29, 2018

Last updated

May 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1326539032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ELOCHOMAN VALLEY RD",
            "city": "CATHLAMET",
            "state": "WA",
            "postal_code": "986129602",
            "telephone_number": "360-795-8630",
            "fax_number": "360-795-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 ELOCHOMAN VALLEY RD",
            "city": "CATHLAMET",
            "state": "WA",
            "postal_code": "986129602",
            "telephone_number": "360-795-8630",
            "fax_number": "360-795-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADGEN",
        "first_name": "NICHOLAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Cathlamet, WA
• Providers in Cathlamet, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.