Lindie McKenzie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1617 E Milham Ave
Suite B
Portage, MI 49002-3049

Phone

(269) 303-5931

NPI assigned

Apr 26, 2017

Sex

Female

Sole proprietor

No

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.

• Autism Systems LLC

  • Behavior Analyst
  • Fort Gratiot, MI
  • NPI 1972030724
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2020.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1801321997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6296 BRIDGEPORT VILLAGE SQUARE DR STE 2",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229655",
            "telephone_number": "989-401-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E MILHAM AVE",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023049",
            "telephone_number": "269-303-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "LINDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly McGowan, LLP
• Michele Lynn McGrady
• Lacey McGrail
• Carrie Jane McKean, M.A., L.L.P.C.
• Jordan McKenzie, PA-C
• Kelly Denise McLean, MT, RMT
• Amy McNamara, LMSW
• Francesca Rose McQueen, DO
• Mark R McShane, AU.D
• Kiana Means

• All providers in Portage, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.