Active NPI
Michaela Rose Goode, MA, BCBA
- Behavior Analyst
- Springfield, IL
National Provider Identifier
1730651084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 371001
- Practice address
- 2035 W Iles Ave Ste C
Springfield, IL 62704-7000 - Phone
- (217) 679-5080
- NPI assigned
- Dec 27, 2018
- Last updated
- Jun 10, 2022
- 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 | 371001 | IL | Primary |
Addresses
Primary practice location
2035 W Iles Ave Ste C
Springfield, IL 62704-7000
Mailing address
410 Cedar St
Greenfield, IL 62044-1512
Phone (217) 370-7237
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 371001 | IL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Perspective Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- West Chicago, IL
- NPI 1578883500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1730651084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CEDAR ST",
"city": "GREENFIELD",
"state": "IL",
"postal_code": "620441512",
"telephone_number": "217-370-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 W ILES AVE STE C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047000",
"telephone_number": "217-679-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "MICHAELA",
"middle_name": "ROSE",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "371001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.