Active NPI
Kaitlyn Neumann, BCBA
- Behavior Analyst
- Placerville, CA
National Provider Identifier
1790141240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 331 Diana St
Placerville, CA 95667-3317 - Phone
- (530) 295-7846
- Fax
- (530) 554-4844
- NPI assigned
- Jan 13, 2016
- Last updated
- Nov 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
331 Diana St
Placerville, CA 95667-3317
Mailing address
331 Diana St
Placerville, CA 95667-3317
Phone (530) 295-7846
Other practice location 1
3960 Arbor Trace Dr Unit B
Lynn Haven, FL 32444-6723
Phone (855) 832-6727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
108 Butter Churn CT
Fountain, CO 80817-4141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enduring Hope LLC | Behavior Analyst | Current | Accepting new patients |
| Enduring Hope LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Placerville, CA
- NPI 1720688716
-
- Behavior Analyst
- Fountain, CO
- NPI 1003787672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1790141240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 DIANA ST",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956673317",
"telephone_number": "530-295-7846",
"fax_number": "530-554-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 DIANA ST",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956673317",
"telephone_number": "530-295-7846",
"fax_number": "530-554-4844"
}
],
"practiceLocations": [
{
"address_1": "3960 Arbor Trace Dr Unit B",
"address_purpose": "LOCATION",
"city": "Lynn Haven",
"state": "FL",
"postal_code": "324446723",
"country_code": "US",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUMANN",
"first_name": "KAITLYN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
- Jeffrey Lawrence Nelson, DDS
- Victoria G Nelson, D.C.
- John Arthur Nerwinski, D.D.S.
- Paul Michael Nerz, MD
- Lacey Etienne Neufeld, DNP, FNP-BC
- New Morning Youth & Family Services, Inc
- New Morning Youth & Family Services, Inc
- New Morning Youth and Family Services
- Paul David Newton, P.T.
- Nexstep Mobility, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.