Active NPI
Steven Michalski
- Behavior Analyst
- Redmond, WA
National Provider Identifier
1497105613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 9585250-2506
- Practice address
- 15674 NE 103Rd Way
Redmond, WA 98052-1007 - Phone
- (801) 403-5830
- Fax
- (425) 396-0729
- NPI assigned
- Jun 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 9585250-2506 | UT | Primary |
Addresses
Primary practice location
15674 NE 103Rd Way
Redmond, WA 98052-1007
Mailing address
15674 NE 103Rd Way
Redmond, WA 98052-1007
Phone (801) 403-5830
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9585250-2506 | UT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466208000000",
"number": "1497105613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15674 NE 103RD WAY",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521007",
"telephone_number": "801-403-5830",
"fax_number": "425-396-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15674 NE 103RD WAY",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521007",
"telephone_number": "801-403-5830",
"fax_number": "425-396-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALSKI",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-18",
"last_updated": "2016-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "9585250-2506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.