Individual provider Active NPI

Megan Shelby Gold, BCBA

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1669901732
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6402 Apollo Dr Apt D
Baltimore, MD 21209-2922
Phone
(919) 610-2340
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

6402 Apollo Dr Apt D
Baltimore, MD 21209-2922

Mailing address

6402 Apollo Dr Apt D
Baltimore, MD 21209-2922
Phone (919) 610-2340

Other practice location 1

8 Priscilla Rd Apt 1
Brighton, MA 02135-4007
Phone (919) 610-2340

Other practice location 2

8 Priscilla Rd Apt 1
Brighton, MA 02135-4007
Phone (919) 610-2340

Other names 1

  • Megan Shelby Kennedy Former name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669901732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 APOLLO DR APT D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092922",
            "telephone_number": "919-610-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 APOLLO DR APT D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092922",
            "telephone_number": "919-610-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Priscilla Rd Apt 1",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021354007",
            "country_code": "US",
            "telephone_number": "919-610-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Priscilla Rd Apt 1",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021354007",
            "country_code": "US",
            "telephone_number": "919-610-2340",
            "fax_number": "919-610-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "MEGAN",
        "middle_name": "SHELBY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KENNEDY",
            "middle_name": "SHELBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.