Individual provider Active NPI

Jaimie Michaels, M.ED., BCBA, LBA

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1730893728
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000243 Issued in AZ
Practice address
5601 N 16TH St
Phoenix, AZ 85016-2903
Phone
(602) 664-7900
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BEH-000243 AZ Primary

Addresses

Primary practice location

5601 N 16TH St
Phoenix, AZ 85016-2903

Mailing address

3030 E Charleston Ave
Phoenix, AZ 85032-1170
Phone (602) 568-1617

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmichaels@madisoned.org 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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BEH-000243AZMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1730893728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E CHARLESTON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321170",
            "telephone_number": "602-568-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162903",
            "telephone_number": "602-664-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "JAIMIE",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmichaels@madisoned.org",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5601 N 16th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850162903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.