Active NPI
Dana Ninkham
- Behavior Analyst
- Pasadena, CA
National Provider Identifier
1952847105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-55592
- Practice address
- Dept la 22763
Pasadena, CA 91185-0001 - Phone
- (866) 523-4268
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-55592 | CA | Primary |
Addresses
Primary practice location
Dept la 22763
Pasadena, CA 91185-0001
Mailing address
Dept la 22763
Pasadena, CA 91185-2763
Phone (866) 523-4268
Other practice location 1
2808 S Picher Ave
Joplin, MO 64804-1645
Phone (417) 347-7850
Other practice location 2
1922 The Alameda Suite 425
San Jose, CA 95126
Phone (510) 679-3545
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Overcoming, LLC | 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 and National Provider Directory roles.
-
- Behavior Analyst
- San Jose, CA
- NPI 1730426420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1952847105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 22763",
"city": "PASADENA",
"state": "CA",
"postal_code": "911852763",
"telephone_number": "866-523-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT LA 22763",
"city": "PASADENA",
"state": "CA",
"postal_code": "911850001",
"telephone_number": "866-523-4268"
}
],
"practiceLocations": [
{
"address_1": "2808 S Picher Ave",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648041645",
"country_code": "US",
"telephone_number": "417-347-7850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1922 The Alameda Suite 425",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "95126",
"country_code": "US",
"telephone_number": "510-679-3545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NINKHAM",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-55592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.