Individual provider Active NPI

Megan McDowell-Delgado, MA, BCBA, LBA

  • Behavior Analyst
  • Centreville, MI
National Provider Identifier
1770056574
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1770056574 Issued in MI
Practice address
666 E Main St Ste B
Centreville, MI 49032-9803
Phone
(269) 241-2700
Fax
(269) 241-2701
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1770056574 MI Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

666 E Main St Ste B
Centreville, MI 49032-9803

Mailing address

666 E Main St Ste B
Centreville, MI 49032-9803
Phone (269) 241-2700

Other identifiers 1

IdentifierTypeStateIssuer
1770056574MedicaidMI

Other names 1

  • Ms. Megan Renee McDowell Former name

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

State licenses

LicenseStateTypeSpecialty
1770056574MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Synthesis ABA LLC Behavior Analyst Past Accepting new patients
Ripple Effects Autism Learning Center, LLC Behavior Analyst PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1770056574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 E MAIN ST STE B",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329803",
            "telephone_number": "269-241-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 E MAIN ST STE B",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329803",
            "telephone_number": "269-241-2700",
            "fax_number": "269-241-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL-DELGADO",
        "first_name": "MEGAN",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1770056574",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770056574",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MCDOWELL",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "MA, QBHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centreville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.