Active NPI
Michelle Lynn Perdue, M.ED.
- Behavior Analyst
- Oil City, PA
National Provider Identifier
1821424730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH000723
- Practice address
- 248 Seneca St
3Rd Floor
Oil City, PA 16301-1371 - Phone
- (814) 678-8627
- Fax
- (814) 676-1016
- NPI assigned
- Sep 24, 2013
- Last updated
- Jun 20, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NU | ||
| Behavior Analyst | 103K00000X | BH000723 | PA | Primary |
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
248 Seneca St
3Rd Floor
Oil City, PA 16301-1371
Mailing address
248 Seneca St
3Rd Floor
Oil City, PA 16301-1371
Phone (814) 678-8627
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH000723 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star Behavioral Health Services, LLC | 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.
-
- Community/Behavioral Health Agency
- Oil City, PA
- NPI 1134343619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1821424730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 SENECA ST",
"address_2": "3RD FLOOR",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163011371",
"telephone_number": "814-678-8627",
"fax_number": "814-676-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 SENECA ST",
"address_2": "3RD FLOOR",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163011371",
"telephone_number": "814-678-8627",
"fax_number": "814-676-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERDUE",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000723",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oil City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.