Individual provider Active NPI

Kristine McNamee, BCBA

  • Behavior Analyst
  • Sacramento, CA
National Provider Identifier
1548675887
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11416734 Issued in CA
Practice address
1901 Royal Oaks Dr Ste 200
Sacramento, CA 95815-4235
Phone
(916) 923-1789
Fax
(916) 923-1169
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11416734 CA Primary

Addresses

Primary practice location

1901 Royal Oaks Dr Ste 200
Sacramento, CA 95815-4235

Mailing address

1901 Royal Oaks Dr Ste 200
Sacramento, CA 95815-4235
Phone (916) 923-1789

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

LicenseStateTypeSpecialty
11416734CAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1548675887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ROYAL OAKS DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154235",
            "telephone_number": "916-923-1789",
            "fax_number": "916-923-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ROYAL OAKS DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154235",
            "telephone_number": "916-923-1789",
            "fax_number": "916-923-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMEE",
        "first_name": "KRISTINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11416734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.