Organization Active NPI

Monarch Behavioral Care, LLC

  • Behavior Analyst
  • O'Fallon, IL
National Provider Identifier
1366811879
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MONARCH BEHAVIORAL CARE, LLC
Practice address
784 Wall St
100J
O Fallon, IL 62269-1959
Phone
(715) 703-0573
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Dr. Autumn Nicole McKeel, PH. D., BCBA-D
Title
Owner
Phone
(715) 703-0573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

784 Wall St
100J
O Fallon, IL 62269-1959

Mailing address

1636 N Wells St
Apt 2609
Chicago, IL 60614-6037
Phone (715) 703-0573

National Provider Directory

National Provider Directory
Tax ID family
ABA Consultation in-Home Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

784 Wall St
Ste 100J
O Fallon, IL 62269
Phone (715) 703-0573

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1366811879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 N WELLS ST",
            "address_2": "APT 2609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146037",
            "telephone_number": "715-703-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 WALL ST",
            "address_2": "100J",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691959",
            "telephone_number": "715-703-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "MCKEEL",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-703-0573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.