Active NPI
Kathie Ham
- Behavior Analyst
- College Station, TX
National Provider Identifier
1780171470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-29898
- Practice address
- 700 University Dr E Ste 106
College Station, TX 77840-1848 - Phone
- (210) 447-0039
- NPI assigned
- Apr 18, 2018
- 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 | 1-18-29898 | TX | Primary |
Addresses
Primary practice location
700 University Dr E Ste 106
College Station, TX 77840-1848
Mailing address
1313 Park St
Bryan, TX 77803-4973
Phone (979) 255-4487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-29898 | Other | TX | BACB CERTIFICATION |
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 |
|---|---|---|---|
| Tanner Autism Services of Colorado | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Wellington, CO
- NPI 1366898793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1780171470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 PARK ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778034973",
"telephone_number": "979-255-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 UNIVERSITY DR E STE 106",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778401848",
"telephone_number": "210-447-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAM",
"first_name": "KATHIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-18-29898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB CERTIFICATION",
"identifier": "1-18-29898",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.