Individual provider Active NPI

Madilyn McInerney

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1609409093
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6214 24TH Ave
Brooklyn, NY 11204-3319
Phone
(211) 481-4040
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-112659
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

6214 24TH Ave
Brooklyn, NY 11204-3319

Mailing address

11021 W Garverdale LN Apt 102
Boise, ID 83713-5510
Phone (630) 460-0443

Other practice location 1

3527 S Federal Way Ste 103426
Boise, ID 83705-5204
Phone (805) 668-8961

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

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1609409093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 W GARVERDALE LN APT 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135510",
            "telephone_number": "630-460-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 24TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043319",
            "telephone_number": "211-481-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3527 S Federal Way Ste 103426",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837055204",
            "country_code": "US",
            "telephone_number": "805-668-8961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINERNEY",
        "first_name": "MADILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-20-112659",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.