Michelle L McDermott, M.S. ED. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18368 Issued in CO

Practice address

2695 S Jersey St
Denver, CO 80222-6321

Phone

(610) 513-0161

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Front Range Behavioral Associates

  • Behavior Analyst
  • Denver, CO
  • NPI 1336650399
  NPD (past) Authorized official

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760878250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 E 8TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204705",
            "telephone_number": "610-513-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S JERSEY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226321",
            "telephone_number": "610-513-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6725 E 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802204705",
            "country_code": "US",
            "telephone_number": "610-513-0161",
            "fax_number": "610-513-0161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12650 E. Briarwood Ave.",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "720-470-0578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12650 E. Briarwood Ave.",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "720-470-0578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S. ED. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-15-18368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M McDermitt, NP
• Alexandra McDermott, PSY.D.
• Carrie McDermott, PHD, RN, ACNS-BC
• Danielle S McDermott, MD
• Jessica Dreger McDermott, M.D.
• Rachael Elizabeth McDermott, MS, LAC LPCC, NCC
• Wendy Michelle McDermott, LCSW
• Fiona Margot McDermut
• Matthew J. McDevitt
• Evelyn Kay McDivitt, M.D.

• Behavior Analyst in Denver, CO
• Providers in Denver, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.