Active NPI
Ronnie McClain
- Assistant Behavior Analyst
- Woodland Hills, CA
National Provider Identifier
1477244143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 6100 De Soto Ave Apt 426
Woodland Hills, CA 91367-3769 - Phone
- (323) 337-3000
- NPI assigned
- May 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | |||
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
6100 De Soto Ave Apt 426
Woodland Hills, CA 91367-3769
Mailing address
20929 Ventura Blvd Ste 47
Woodland Hills, CA 91364-2334
Phone (323) 337-3000
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ground Up Sports LLC | Current | Accepting new patients | |
| Groundup Foundation Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Woodland Hills, CA
- NPI 1760327811
-
- Behavior Analyst
- Woodland Hills, CA
- NPI 1699460022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1477244143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20929 VENTURA BLVD STE 47",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642334",
"telephone_number": "323-337-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 DE SOTO AVE APT 426",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913673769",
"telephone_number": "323-337-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "RONNIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.