Active NPI
Miranda Pratt
- Behavior Analyst
- Plainville, CT
National Provider Identifier
1689027260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA.000868
- Practice address
- 56 W Main St
Plainville, CT 06062 - Phone
- (860) 351-5407
- Fax
- (860) 351-5774
- NPI assigned
- Jul 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA.000868 | CT | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
56 W Main St
Plainville, CT 06062
Mailing address
56 W Main St
Plainville, CT 06062-1904
Phone (860) 351-5407
Other practice location 1
1111 Elm St
Suite 7
West Springfield, MA 01089-1782
Phone (413) 734-0800
Other practice location 2
1111 Elm St
Suite 7
West Springfield, MA 01089-1782
Phone (413) 734-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
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 |
|---|---|---|---|
| BA.000868 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1689027260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 W MAIN ST",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621904",
"telephone_number": "860-351-5407",
"fax_number": "860-351-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 W MAIN ST",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "06062",
"telephone_number": "860-351-5407",
"fax_number": "860-351-5774"
}
],
"practiceLocations": [
{
"address_1": "1111 Elm St",
"address_2": "Suite 7",
"address_purpose": "LOCATION",
"city": "West Springfield",
"state": "MA",
"postal_code": "010891782",
"country_code": "US",
"telephone_number": "413-734-0800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 Elm St",
"address_2": "Suite 7",
"address_purpose": "LOCATION",
"city": "West Springfield",
"state": "MA",
"postal_code": "010891782",
"country_code": "US",
"telephone_number": "413-734-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATT",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "BA.000868",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265E",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.