Active NPI
Mary Catherine McWilliams
- Behavior Analyst
- Vero Beach, FL
National Provider Identifier
1750730529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1515 Indian River Blvd
Ste A210
Vero Beach, FL 32960-5639 - Phone
- (772) 774-8224
- NPI assigned
- Jun 12, 2016
- Last updated
- Jun 12, 2016
- 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
1515 Indian River Blvd
Ste A210
Vero Beach, FL 32960-5639
Mailing address
873 SW Commonwealth Rd
Port St Lucie, FL 34953-2350
Phone (908) 809-2112
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Behavior Analysis, LLC | 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
- Vero Beach, FL
- NPI 1932408143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465689600000",
"number": "1750730529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "873 SW COMMONWEALTH RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349532350",
"telephone_number": "908-809-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 INDIAN RIVER BLVD",
"address_2": "STE A210",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605639",
"telephone_number": "772-774-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "MARY",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-12",
"last_updated": "2016-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.