Active NPI
Kirsti Singer
- Behavior Analyst
- Paducah, KY
National Provider Identifier
1629517123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 240231
- Practice address
- 6201 Benton Rd
Paducah, KY 42003-1304 - Phone
- (270) 908-0461
- Fax
- (270) 366-0780
- NPI assigned
- Feb 16, 2017
- 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 Analyst | 103K00000X | 240231 | KY | Primary |
Addresses
Primary practice location
6201 Benton Rd
Paducah, KY 42003-1304
Mailing address
6201 Benton Rd
Paducah, KY 42003-1304
Phone (270) 908-0461
Other practice location 1
2000 Main St Unit 8
Benton, KY 42025-1703
Phone (270) 908-0461
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 |
|---|---|---|---|
| 240231 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Behavior Therapy LLC | Behavior Analyst | 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
- Paducah, KY
- NPI 1770853939
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629517123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 BENTON RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420031304",
"telephone_number": "270-908-0461",
"fax_number": "270-366-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 BENTON RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420031304",
"telephone_number": "270-908-0461",
"fax_number": "270-366-0780"
}
],
"practiceLocations": [
{
"address_1": "2000 Main St Unit 8",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "KY",
"postal_code": "420251703",
"country_code": "US",
"telephone_number": "270-908-0461",
"fax_number": "270-366-0780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGER",
"first_name": "KIRSTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "240231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.