Active NPI
Emily Gortner
- Behavior Technician
- San Diego, CA
National Provider Identifier
1659917532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-108654
- Practice address
- 9245 Activity Rd Ste 106
San Diego, CA 92126-4442 - Phone
- (858) 428-0222
- NPI assigned
- Nov 26, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Behavior Technician | 106S00000X | RBT-19-108654 | CA | Primary |
Addresses
Primary practice location
9245 Activity Rd Ste 106
San Diego, CA 92126-4442
Mailing address
5639 Amaya Dr Apt 293
La Mesa, CA 91942-3695
Phone (515) 783-7638
Other practice location 1
6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Phone (619) 481-5200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Egortner@excitesteps.com |
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 |
|---|---|---|---|
| RBT-19-108654 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcite Steps, LLC | 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.
-
- Behavior Analyst
- San Diego, CA
- NPI 1336581271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1659917532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5639 AMAYA DR APT 293",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423695",
"telephone_number": "515-783-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9245 ACTIVITY RD STE 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264442",
"telephone_number": "858-428-0222"
}
],
"practiceLocations": [
{
"address_1": "6160 Mission Gorge Rd Ste 108",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921203425",
"country_code": "US",
"telephone_number": "619-481-5200",
"fax_number": "619-481-5217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORTNER",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-19-108654",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Egortner@excitesteps.com",
"affiliation": "N",
"endpointDescription": "Confidential Work Email",
"address_1": "9245 Activity Rd Ste 106",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921264442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.