Active NPI
Micaela Grady, B.A.
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1689085359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25134
- Practice address
- 345A Greenwood Street, Suite B
Worcester, MA 01607 - Phone
- (508) 363-0200
- Fax
- (508) 363-1213
- NPI assigned
- May 15, 2014
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 1-17-25134 | MA | Primary |
Addresses
Primary practice location
345A Greenwood Street, Suite B
Worcester, MA 01607
Mailing address
345A Greenwood Street, Suite B
Worcester, MA 01607
Phone (508) 363-0200
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": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1689085359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345A GREENWOOD STREET, SUITE B",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01607",
"telephone_number": "508-363-0200",
"fax_number": "508-363-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345A GREENWOOD STREET, SUITE B",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01607",
"telephone_number": "508-363-0200",
"fax_number": "508-363-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "MICAELA",
"name_prefix": "Ms.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-17-25134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.