Individual provider Active NPI

Mackenzie Taylor Robichaud

  • Behavior Analyst
  • Cranston, RI
National Provider Identifier
1962384271
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA00489 Issued in RI
Practice address
1210 Pontiac Ave
Cranston, RI 02920-4484
Phone
(800) 679-3609
NPI assigned
Jul 25, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA00489 RI Primary

Addresses

Primary practice location

1210 Pontiac Ave
Cranston, RI 02920-4484

Mailing address

535 8TH Ave FL 9
New York, NY 10018-2486

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

LicenseStateTypeSpecialty
LBA00489RIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Interventions, Psychology, PT, OT, SLP, LMSW, PLLC. Behavior Analyst PastSince Jul 28, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1962384271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 8TH AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204484",
            "telephone_number": "800-679-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBICHAUD",
        "first_name": "MACKENZIE",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.