NPIMap

Organization Active NPI

McRory Pediatric Services

  • Behavior Analyst
  • Encino, CA
National Provider Identifier
1457643652
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-8354 Issued in CA
Legal business name
MCRORY PEDIATRIC SERVICES
Practice address
17609 Ventura Blvd
Suite # 215
Encino, CA 91316-3858
Phone
(818) 501-8352
Fax
(818) 501-8325
NPI assigned
May 5, 2011
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Ms. Ginger Liane Bedre, BCBA
Title
ABA Program Therapy Supervisor
Phone
(818) 635-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-11-8354 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd
Suite # 215
Encino, CA 91316-3858

Mailing address

17609 Ventura Blvd
Suite # 215
Encino, CA 91316-3858
Phone (818) 501-8352

National Provider Directory

National Provider Directory
Tax ID family
McRory Pediatric Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1457643652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE # 215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE # 215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRORY PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "BEDRE",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "LIANE",
        "authorized_official_title_or_position": "ABA PROGRAM THERAPY SUPERVISOR",
        "authorized_official_telephone_number": "818-635-2250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-8354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.