Michelle Modrich

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11416372 Issued in CA

Practice address

2560 9TH St
Suite 220
Berkeley, CA 94710-2500

Phone

(510) 665-9700

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1811303340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WALKER AVE",
            "address_2": "102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102754",
            "telephone_number": "510-299-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 9TH ST",
            "address_2": "SUITE 220",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102500",
            "telephone_number": "510-665-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODRICH",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11416372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arman Mkrtchyan, M.A.
• MMS Quality Nursing Services, Inc.
• Daniel Afshin Mobati, MD, DDS
• Hilary Ann Modell, N.P.
• Kristina Marie Modeste, LMFT
• Shoshana Moed
• Paul Arthur Moench, PSY.D.
• Meredith Mogensen
• John O Mohammadioun
• Caroline Mok

• Behavior Analyst in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.