Michael W Quick

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1233 Sherman Dr
Longmont, CO 80501-6133

Phone

(720) 449-6676

NPI assigned

Aug 18, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Lighthouse Neurofeedback & Behavior Analysis, Inc.

  • Mental Health Counselor
  • Longmont, CO
  • NPI 1477937522

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1720754963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHERMAN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016133",
            "telephone_number": "720-449-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHERMAN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016133",
            "telephone_number": "720-449-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814442229",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole L Pygott, AU.D
• Gayla Coatney Pyka, APRN, FNP-C
• Quality Urgent Care Professional Corporation
• Elizabeth Grace Query
• Questcare Obstetrics Colorado LLC
• Staci Quillen, COTA/L
• Kathryn Quinby, PHARM D
• Christopher Joseph Quinn, PT
• Amanda Quinones
• R & F Inc

• Behavior Technician in Longmont, CO
• Providers in Longmont, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.