Keirstie Wineland, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-32408

Practice address

110 Church St
Philadelphia, PA 19106-2201

Phone

(267) 807-0550

NPI assigned

Jan 3, 2019

Sex

Female

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

Credentials

Master of Arts

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.

• Elevated Kids

  • Behavior Analyst
  • Philadelphia, PA
  • NPI 1871128850
  NPD
• Gentlecare Therapy LLC

  • Behavior Analyst
  • Gibbsboro, NJ
  • NPI 1376996116
  NPD (past)
• Progressive Applied Behavioral Treatment

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
  • NPI 1497109409
  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1396218285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 COOPER RUN DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032207",
            "telephone_number": "856-534-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062201",
            "telephone_number": "267-807-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Lupton Ave",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080965901",
            "country_code": "US",
            "telephone_number": "856-537-0635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINELAND",
        "first_name": "KEIRSTIE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-32408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Anne Windmill, MED
• Carman Windom, MD
• Charles Christian Windon, M.D.
• Alanna Windsor, MD
• Lindsey Windsor, CCC-SLP
• Anna Kait Wing, MD
• Joan Wing, OD
• Norma Jean Wingate, M.ED, ATC
• Erin Wingen, MS, RD
• Kristian Winiarz, PSYD, MA

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.