Individual provider Active NPI

Megan Denehy

  • Behavior Analyst
  • Dearborn, MI
National Provider Identifier
1619645702
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2021 Monroe St
Dearborn, MI 48124-2926
Phone
(517) 245-4777
Fax
(517) 698-8223
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 Primary

Addresses

Primary practice location

2021 Monroe St
Dearborn, MI 48124-2926

Mailing address

PO Box 12279
Lansing, MI 48901-2279
Phone (517) 245-4777

Other identifiers 1

IdentifierTypeStateIssuer
D500599210589OtherMIBEHAVIOR ANALYST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@advanceabacare.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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance ABA , LLC CurrentSince Sep 5, 2021 Accepting new patients
Advance ABA , LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

2021 Monroe St
Dearborn, MI 48124
Phone (517) 245-4777

Organizations & group practices 2

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1619645702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12279",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489012279",
            "telephone_number": "517-245-4777",
            "fax_number": "517-698-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242926",
            "telephone_number": "517-245-4777",
            "fax_number": "517-698-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEHY",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST",
            "identifier": "D500599210589",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@advanceabacare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2021 Monroe St",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481242926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.