Active NPI
Matthew James Welch, ED.S., BCBA
- Behavior Analyst
- Madison, WI
National Provider Identifier
1891039731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4-140
- Practice address
- 1946 Pond St
Madison, WI 53704-8110 - Phone
- (608) 561-4352
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 4-140 | WI | Primary |
Addresses
Primary practice location
1946 Pond St
Madison, WI 53704-8110
Mailing address
1946 Pond St
Madison, WI 53704-8110
Phone (608) 561-4352
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1891039731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1946 POND ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537048110",
"telephone_number": "608-561-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 POND ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537048110",
"telephone_number": "608-561-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "ED.S., BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "4-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.