Individual provider Active NPI

Alice Rost Kecseg, B.A.

  • Behavior Analyst
  • Northbrook, IL
National Provider Identifier
1679710057
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3504 Commercial Ave
Northbrook, IL 60062-1821
Phone
(847) 504-2728
Fax
(847) 480-0567
NPI assigned
Jan 7, 2009
Last updated
Jan 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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 NU Primary

Addresses

Primary practice location

3504 Commercial Ave
Northbrook, IL 60062-1821

Mailing address

3504 Commercial Ave
Northbrook, IL 60062-1821
Phone (847) 504-2728

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1679710057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 COMMERCIAL AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621821",
            "telephone_number": "847-504-2728",
            "fax_number": "847-480-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 COMMERCIAL AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621821",
            "telephone_number": "847-504-2728",
            "fax_number": "847-480-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECSEG",
        "first_name": "ALICE",
        "middle_name": "ROST",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.