Maddison Jeffries

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5420 Ridge Ave Apt 207
Philadelphia, PA 19128-3930

Phone

(570) 789-3844

NPI assigned

Jan 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1437749447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N HANCOCK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 RIDGE AVE APT 207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283930",
            "telephone_number": "570-789-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "MADDISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey P Faude, PH.D.
• Jeffrey Rosenberg
• Jeffrey S. Grand, PSYD, PLLC
• Kimberly Jeffries-Whitfield, MSN, FNP-BC
• Kierstyn Jeffries, PA-C
• Anusha Jegatheeswaran, MD, PHD
• Joseph A Jelen Jr., MD
• Monika Jelic, NP
• Jeliel Skilled Nursing Agency LLC
• Jeliel Skilled Nursing Agency LLC

• 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 Feb 9, 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.