Active NPI
Lyn McCarthy, MA, BCBA
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1740573609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 15119 Powderhorn Rd
Fort Wayne, IN 46814-9421 - Phone
- (260) 414-1170
- NPI assigned
- May 25, 2011
- 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
15119 Powderhorn Rd
Fort Wayne, IN 46814-9421
Mailing address
15119 Powderhorn Rd
Fort Wayne, IN 46814-9421
Phone (888) 667-1181
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1740573609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15119 POWDERHORN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149421",
"telephone_number": "888-667-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15119 POWDERHORN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149421",
"telephone_number": "260-414-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "LYN",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.