NPIMap

Individual provider Active NPI

Michael A Trotta, BCBA, LBA

  • Behavior Analyst
  • Vine Grove, KY
National Provider Identifier
1801124243
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5557 Issued in FL
Practice address
56 Cambridge CT
Vine Grove, KY 40175-5100
Phone
(270) 501-0858
Fax
(270) 828-5801
NPI assigned
Nov 23, 2009
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-09-5557 FL Primary

Addresses

Primary practice location

56 Cambridge CT
Vine Grove, KY 40175-5100

Mailing address

56 Cambridge CT
Vine Grove, KY 40175-5100
Phone (270) 501-0858

Other names 1

  • Michael Trotta Professional 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

Practice roles

OrganizationSpecialtyStatusNew patients
Possibility Place PSC 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.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1801124243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CAMBRIDGE CT",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401755100",
            "telephone_number": "270-501-0858",
            "fax_number": "270-828-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CAMBRIDGE CT",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401755100",
            "telephone_number": "270-501-0858",
            "fax_number": "270-828-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-23",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-09-5557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "TROTTA",
            "credential": "BCBA, LBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vine Grove, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.