Active NPI
Andrea Marie Massey, MA, MED., RBT, BSS
- Behavior Technician
- Ft Mitchell, KY
National Provider Identifier
1609545979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 334 Beechwood Rd Ste 502
Ft Mitchell, KY 41017-1611 - Phone
- (859) 360-3006
- NPI assigned
- Sep 9, 2021
- Last updated
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
334 Beechwood Rd Ste 502
Ft Mitchell, KY 41017-1611
Mailing address
531 Kabler Mill Rd
Brooksville, KY 41004-2511
Phone (513) 519-9744
Other names 1
- Andrea Marie Mahlman
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, Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cultivate Behavioral Health and Education
- Behavior Analyst
- Edgewood, KY
- NPI 1952840860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1609545979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 KABLER MILL RD",
"city": "BROOKSVILLE",
"state": "KY",
"postal_code": "410042511",
"telephone_number": "513-519-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 BEECHWOOD RD STE 502",
"city": "FT MITCHELL",
"state": "KY",
"postal_code": "410171611",
"telephone_number": "859-360-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "MA, MED., RBT, BSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "MAHLMAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ft Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.