Active NPI
Andrea McNally
- Behavior Analyst
- Brighton, MI
National Provider Identifier
1740808864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401002160
- Practice address
- 8175 Movie Dr
Brighton, MI 48116-7444 - Phone
- (248) 277-3005
- NPI assigned
- Jul 7, 2020
- Last updated
- Aug 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 7401002160 | MI | Primary |
Addresses
Primary practice location
8175 Movie Dr
Brighton, MI 48116-7444
Mailing address
8175 Movie Dr
Brighton, MI 48116-7444
Phone (248) 277-3005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401002160 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BWC Brighton LLC | Current | Accepting new patients | |
| BWC Brighton LLC | Current | Accepting new patients | |
| Canton BCC LLC | Past | Accepting new patients | |
| Canton BCC LLC | Behavior Analyst | Past | Accepting new patients |
Locations
8175 Movie Dr
Brighton, MI 48116
Phone (248) 277-3005
Organizations & group practices 4
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.
-
dba Blossom Children's Center-Brighton
- Community/Behavioral Health Agency
- Brighton, MI
- NPI 1104585421
-
dba Blossom Children's Center-Brighton
- Speech-Language Pathologist
- Brighton, MI
- NPI 1366282980
-
- Speech-Language Pathologist
- Canton, MI
- NPI 1265250500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1740808864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8175 MOVIE DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481167444",
"telephone_number": "248-277-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8175 MOVIE DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481167444",
"telephone_number": "248-277-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401002160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.