Individual provider Active NPI

Jessica K Caffrey, JESSICA CAFFREY

  • Behavior Analyst
  • Cherry Hill, NJ
National Provider Identifier
1588950695
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1062684 Issued in NJ
Practice address
2 Pin Oak LN
Suite 250
Cherry Hill, NJ 08003-1632
Phone
(856) 874-1616
Fax
(856) 424-7660
NPI assigned
Jun 27, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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 1062684 NJ Primary

Addresses

Primary practice location

2 Pin Oak LN
Suite 250
Cherry Hill, NJ 08003-1632

Mailing address

2 Pin Oak LN
Suite 250
Cherry Hill, NJ 08003-1632

Other names 1

  • Jessica McKinney 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

State licenses

LicenseStateTypeSpecialty
1062684NJMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1588950695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN",
            "address_2": "SUITE 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN",
            "address_2": "SUITE 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031632",
            "telephone_number": "856-874-1616",
            "fax_number": "856-424-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFREY",
        "first_name": "JESSICA",
        "middle_name": "K",
        "credential": "JESSICA CAFFREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1062684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCKINNEY",
            "credential": "JESSICA CAFFREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.