Reghan McKenzie Komprood

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11 13TH Ave
New Glarus, WI 53574-8919

Phone

(608) 527-4844

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bridges Consultation and Treatment

  • Behavior Analyst
  • New Glarus, WI
  • NPI 1194343707
  NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1598548778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W4874 EDELWEISS RD",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749304",
            "telephone_number": "608-438-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 13TH AVE",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535748919",
            "telephone_number": "608-527-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMPROOD",
        "first_name": "REGHAN",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Juzwik, BCBA
• Kemell Health LLC
• Merissa N Kerl
• Rebecca L Kimpel
• Morgan Knox
• Zachary Daniel Kopacz
• Life'S a Beach Counseling LLC
• Dana Lynn Lindsey, PT
• MD Group II LLC
• MD Group II LLC

• Behavior Technician in New Glarus, WI
• Providers in New Glarus, WI by specialty
• Behavior Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.