Individual provider Active NPI

Michael Hitchcock, M.A., BCBA, IBA, LBA

  • Behavior Analyst
  • Freehold, NJ
National Provider Identifier
1376959171
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
15BC00041700 Issued in NJ
Practice address
906 Route 33
Freehold, NJ 07728-8435
Phone
(732) 918-0850
NPI assigned
Jul 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-19095 NJ
Behavior Analyst 103K00000X 15BC00041700 NJ Primary

Addresses

Primary practice location

906 Route 33
Freehold, NJ 07728-8435

Mailing address

6 Custer St
Farmingdale, NJ 07727-1131
Phone (732) 829-2005

Other practice location 1

4772 US Highway 9
Howell, NJ 07731-3354
Phone (732) 364-1172

Other practice location 2

1776 Avenue Of The States Ste 101A
Lakewood, NJ 08701-4592
Phone (173) 282-9200

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15BC00041700NJMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Playground Behavioral Therapy Behavior Analyst PastSince Jun 14, 2020 Accepting new patients
Allcare Therapy Services, LLC PastSince Nov 1, 2011 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.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1376959171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CUSTER ST",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077271131",
            "telephone_number": "732-829-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROUTE 33",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288435",
            "telephone_number": "732-918-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4772 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077313354",
            "country_code": "US",
            "telephone_number": "732-364-1172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 Avenue Of The States Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014592",
            "country_code": "US",
            "telephone_number": "173-282-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "MICHAEL",
        "credential": "M.A., BCBA, IBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-15-19095",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "15BC00041700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.