Active NPI
Matthew Kinney
- Behavior Analyst
- Lewisburg, PA
National Provider Identifier
1568063105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 900 Buffalo Rd Ste 1
Lewisburg, PA 17837-1206 - Phone
- (570) 523-6787
- NPI assigned
- Nov 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
900 Buffalo Rd Ste 1
Lewisburg, PA 17837-1206
Mailing address
900 Buffalo Rd Ste 1
Lewisburg, PA 17837-1206
Phone (570) 523-6787
Other practice location 1
900 Buffalo Rd Ste 1
Lewisburg, PA 17837-1206
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkinnet@adersinc.org |
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 |
|---|---|---|---|
| Autism Diagnostic Evaluations Resources Services | Behavior Analyst | Current | Accepting new patients |
| Autism Diagnostic Evaluations Resources Services | Past | Accepting new patients |
Locations
900 Buffalo Rd
Ste 1
Lewisburg, PA 17837
Phone (570) 523-6787
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 and National Provider Directory roles.
-
- Behavior Analyst
- Lewisburg, PA
- NPI 1427606011
-
- Community/Behavioral Health Agency
- New Columbia, PA
- NPI 1033541438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1568063105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BUFFALO RD STE 1",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178371206",
"telephone_number": "570-523-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BUFFALO RD STE 1",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178371206",
"telephone_number": "570-523-6787"
}
],
"practiceLocations": [
{
"address_1": "900 Buffalo Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178371206",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINNEY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkinnet@adersinc.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "900 Buffalo Rd Ste 1",
"city": "Lewisburg",
"state": "PA",
"country_code": "US",
"postal_code": "178371206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.