Individual provider Active NPI

Samantha Katchy

  • Behavior Analyst
  • Katy, TX
National Provider Identifier
1609474337
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3666 Issued in TX
Practice address
20751 Holly Rain Dr
Katy, TX 77449-1667
Phone
(713) 505-9304
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 3666 TX Primary

Addresses

Primary practice location

20751 Holly Rain Dr
Katy, TX 77449-1667

Mailing address

20751 Holly Rain Dr
Katy, TX 77449-1667
Phone (713) 505-9304

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fasttrackacademy@outlook.com Direct

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
3666TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track ABA Center Behavior Analyst CurrentSince Nov 29, 2020 Accepting new patients

Locations

423 Mason Park Blvd
Ste A
Katy, TX 77450
Phone (713) 425-4248

1118 Minonite Rd
Ste B
Richmond, TX 77469
Phone (713) 425-4248

Organizations & group practices 1

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1609474337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20751 HOLLY RAIN DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491667",
            "telephone_number": "713-505-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20751 HOLLY RAIN DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491667",
            "telephone_number": "713-505-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fasttrackacademy@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "20751 Holly Rain Dr",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774491667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

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

Verify at the official NPI Registry.