Active NPI
Keith James Rico, LBA, BCBA, LMHC
- Behavior Analyst
- Monticello, NY
National Provider Identifier
1659776201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000045
- Practice address
- 606 Old Route 17
Monticello, NY 12701-7013 - Phone
- (845) 707-8442
- NPI assigned
- Oct 24, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005193 | NY | |
| Behavior Analyst | 103K00000X | 000045 | NY | Primary |
Addresses
Primary practice location
606 Old Route 17
Monticello, NY 12701-7013
Mailing address
606 Old Route 17
Monticello, NY 12701-7013
Phone (845) 707-8442
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 |
|---|---|---|---|
| 005193 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1659776201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 OLD ROUTE 17",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127017013",
"telephone_number": "845-707-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 OLD ROUTE 17",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127017013",
"telephone_number": "845-707-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "KEITH",
"middle_name": "JAMES",
"credential": "LBA, BCBA, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005193",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.