Active NPI
Steve James McAnnaney, MSW
- Behavior Analyst
- New Columbia, PA
National Provider Identifier
1619305448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH000654
- Practice address
- 276 Graylyn Crest Dr
New Columbia, PA 17856-9418 - Phone
- (570) 490-3017
- NPI assigned
- Oct 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH000654 | PA | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
276 Graylyn Crest Dr
New Columbia, PA 17856-9418
Mailing address
148 Dustin Dr
West Milton, PA 17886-8042
Phone (570) 204-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH000654 | Other | PA | PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH000654 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Diagnostic Evaluations Resources Services | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New Columbia, PA
- NPI 1033541438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1619305448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 DUSTIN DR",
"city": "WEST MILTON",
"state": "PA",
"postal_code": "178868042",
"telephone_number": "570-204-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 GRAYLYN CREST DR",
"city": "NEW COLUMBIA",
"state": "PA",
"postal_code": "178569418",
"telephone_number": "570-490-3017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANNANEY",
"first_name": "STEVE",
"middle_name": "JAMES",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-14",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000654",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
"identifier": "BH000654",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Columbia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.