Cameron Douglas McCririe

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-59189 Issued in MI

Practice address

138 W Highland Rd
Howell, MI 48843

Phone

(517) 376-4831

Fax

(517) 376-4833

NPI assigned

Nov 13, 2017

Sex

Male

Sole proprietor

No

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

State licenses

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.

• Ivyrehab Northern PT, LLC

  • Behavior Analyst
  • Howell, MI
  • NPI 1770113680
  NPD (past)
• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1477066447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "517-376-4831",
            "fax_number": "517-376-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRIRIE",
        "first_name": "CAMERON",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "RBT-18-59189",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon McCallum
• Emily Suzanne McCauley, LBSW
• Dawn M McClatchey, R.N.05/16/1966
• Margaret Rose McCoy
• Siobhan Marie McCoy, LMSW
• Corey Adam McCue, PT, DPT
• Mariah McDonald
• Timothy McDonald, DDS
• Sarah Elizabeth McGeorge, LLMSW
• Alice June McGregor

• Behavior Technician in Howell, MI
• Providers in Howell, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.