Individual provider Active NPI

Katerina Elizabeth Rockwell, M.A., BCBA

  • Behavior Analyst
  • Pewaukee, WI
National Provider Identifier
1588043525
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
114-140 Issued in WI
Practice address
N27W23953 Paul Rd Ste 206
Pewaukee, WI 53072-6244
Phone
(262) 347-0701
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 114-140 WI Primary

Addresses

Primary practice location

N27W23953 Paul Rd Ste 206
Pewaukee, WI 53072-6244

Mailing address

N27W23953 Paul Rd
Suite 206
Pewaukee, WI 53072-6242
Phone (815) 262-6372

Other names 1

  • Ms. Katerina Elizabeth Norwood Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
114-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Wiebusch & Nicholson Center for Autism, Inc. Past Accepting new patients
Pediatric Neuropsychology and Treatment Associates, SC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1588043525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD",
            "address_2": "SUITE 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726242",
            "telephone_number": "815-262-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD STE 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726244",
            "telephone_number": "262-347-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "KATERINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "114-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATERINA",
            "last_name": "NORWOOD",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.