Christine E McCulloch

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA00178 Issued in RI

Practice address

1624 Lonsdale Ave
Lincoln, RI 02865-1840

Phone

(401) 954-2064

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1437897600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 OLIPHANT LN",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 LONSDALE AVE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651840",
            "telephone_number": "401-954-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Thor Pl",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028884724",
            "country_code": "US",
            "telephone_number": "401-954-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcculloch@evergrowbehavioralsolutions.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Thor Pl",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028884724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph P Mazza, MD
• Mark A Mazzye Sr., PA-C
• Mallory McCabe, MD
• Khallie McCaffrey
• Katherine D McCleary, M.D.
• Chelsea Mical McKiernan, PA-C
• Laurie Jean McKinnon, M.S CCC-SLP
• John P. McLinden Sr., M.S.P.T.
• Corey McMahon
• Ruth Tirado McNally, FNP

• Behavior Analyst in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.