Active NPI
Mandy Egan
- Behavior Analyst
- Peabody, MA
National Provider Identifier
1700414901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 20 Redberry LN
Peabody, MA 01960-4950 - Phone
- (978) 767-1185
- NPI assigned
- Apr 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
20 Redberry LN
Peabody, MA 01960-4950
Mailing address
20 Redberry LN
Peabody, MA 01960-4950
Phone (978) 767-1185
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mandyegan68@icloud.com | Health Information Exchange (HIE) | |
| CONNECT URL | mandyegan68@icloud.com | Direct |
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": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1700414901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 REDBERRY LN",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604950",
"telephone_number": "978-767-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 REDBERRY LN",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604950",
"telephone_number": "978-767-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mandyegan68@icloud.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20 Redberry Lane",
"address_2": "Peabody",
"city": "Peabody",
"state": "MA",
"country_code": "US",
"postal_code": "01960",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mandyegan68@icloud.com",
"affiliation": "N",
"endpointDescription": "email contact",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "20 Redberry Ln",
"city": "Peabody",
"state": "MA",
"country_code": "US",
"postal_code": "019604950",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.