Active NPI
Carrie Myers, BCABA
- Behavior Analyst
- Waipahu, HI
National Provider Identifier
1679905632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-15072
- Practice address
- 94-849 Lumiaina St Unit 201
Waipahu, HI 96797-5677 - Phone
- (800) 515-5016
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCABA: 0-13-5507 | HI | |
| Behavior Analyst | 103K00000X | 1-14-15072 | Primary |
Addresses
Primary practice location
94-849 Lumiaina St Unit 201
Waipahu, HI 96797-5677
Mailing address
3731 6TH Ave Ste 100
San Diego, CA 92103-4383
Phone (800) 515-5016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-15072 | Other | BACB |
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 |
|---|---|---|---|
| Optimum Guidance Behavior Consulting, LLC | Current | Accepting new patients | |
| Optimum Guidance Behavior Consulting, LLC | Current | Accepting new patients | |
| Behavior Treatment Co | Behavior Analyst | Current | Accepting new patients |
| Circletree Group | Past | Accepting new patients |
Locations
1021 E South Boulder Rd
Ste O
Louisville, CO 80027
Phone (720) 755-2207
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Florence, CO
- NPI 1215554753
-
- Home Health Agency
- Louisville, CO
- NPI 1811451693
-
- Behavior Analyst
- Crescent City, CA
- NPI 1538625603
-
- Home Health Agency
- Albany, OR
- NPI 1932826237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1679905632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 6TH AVE STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034383",
"telephone_number": "800-515-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-849 LUMIAINA ST UNIT 201",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975677",
"telephone_number": "800-515-5016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "CARRIE",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BCABA: 0-13-5507",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-14-15072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-14-15072",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.