Active NPI
Kalen Kamau Schmaderer, BACHELOR'S DEGREE
- Behavior Technician
- Denver, CO
National Provider Identifier
1407586589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- H13720132
- Practice address
- 5215 Newton St
Denver, CO 80221-7327 - Phone
- (402) 416-8864
- NPI assigned
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | H13720132 | NE | Primary |
Addresses
Primary practice location
5215 Newton St
Denver, CO 80221-7327
Mailing address
5215 Newton St
Denver, CO 80221-7327
Phone (402) 416-8864
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 |
|---|---|---|---|
| H13720132 | NE | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1407586589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 NEWTON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802217327",
"telephone_number": "402-416-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 NEWTON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802217327",
"telephone_number": "402-416-8864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMADERER",
"first_name": "KALEN",
"middle_name": "KAMAU",
"name_prefix": "Mr.",
"credential": "BACHELOR'S DEGREE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": "H13720132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.