Active NPI
Madison Burke
- Behavior Analyst
- Scottsdale, AZ
National Provider Identifier
1639894801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 001019
- Practice address
- 7950 E Acoma Dr Ste 105
Scottsdale, AZ 85260-6963 - Phone
- (602) 329-3984
- Fax
- (928) 220-6019
- NPI assigned
- Oct 10, 2022
- 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 | 001019 | AZ | Primary |
Addresses
Primary practice location
7950 E Acoma Dr Ste 105
Scottsdale, AZ 85260-6963
Mailing address
7950 E Acoma Dr Ste 105
Scottsdale, AZ 85260-6963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001019 | Other | AZ | F84.0 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | admin@creativetherapysolution.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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Southwest, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Tempe, AZ
- NPI 1982073672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1639894801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 E ACOMA DR STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 E ACOMA DR STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606963",
"telephone_number": "602-329-3984",
"fax_number": "928-220-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "001019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "F84.0",
"identifier": "001019",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "admin@creativetherapysolution.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7950 E Acoma Dr",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852606962",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.