Active NPI
Jamie Rae Frost, BCBA
- Behavior Analyst
- Brookfield, WI
National Provider Identifier
1356864367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 187-140
- Practice address
- 13100 W Lisbon Rd Ste 600
Brookfield, WI 53005-2509 - Phone
- (414) 207-4175
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Clinical Child & Adolescent Psychologist
- Pewaukee, WI
- NPI 1326265448
-
- Community/Behavioral Health Agency
- Pewaukee, WI
- NPI 1407073505
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1629634514
Behavior Analyst
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 |
|---|---|---|---|
| 187-140 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Neuropsychology and Treatment Associates, SC | Past | Accepting new patients | |
| Mindcolor Autism LLC | Behavior Analyst | Past | Accepting new patients |
| Wiebusch & Nicholson Center for Autism, Inc. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 187-140 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
13100 W Lisbon Rd Ste 600
Brookfield, WI 53005-2509
Mailing address
N27W23953 Paul Rd Ste 206
Pewaukee, WI 53072-6244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2024.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1356864367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N27W23953 PAUL RD STE 206",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530726244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 W LISBON RD STE 600",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052509",
"telephone_number": "414-207-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "JAMIE",
"middle_name": "RAE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "187-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.