Individual provider Active NPI

Sheridan Chambers O'Brien, BCBA

  • Behavior Analyst
  • Birmingham, AL
National Provider Identifier
1962947440
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
120 19TH St N Ste 326
Birmingham, AL 35203-3234
Phone
(205) 394-4036
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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 Primary

Addresses

Primary practice location

120 19TH St N Ste 326
Birmingham, AL 35203-3234

Mailing address

1131 Cameron Cove Cir
Leeds, AL 35094-7808
Phone (205) 394-4036

Other practice location 1

150 Glenwood Ln
Birmingham, AL 35242-5700
Phone (205) 969-2880

Other names 1

  • Ms. Sheridan Michelle Chambers Former name

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

OrganizationSpecialtyStatusNew patients
Hopebridge 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.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1962947440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 CAMERON COVE CIR",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350947808",
            "telephone_number": "205-394-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 19TH ST N STE 326",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033234",
            "telephone_number": "205-394-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Glenwood Ln",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352425700",
            "country_code": "US",
            "telephone_number": "205-969-2880",
            "fax_number": "205-795-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SHERIDAN",
        "middle_name": "CHAMBERS",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERIDAN",
            "last_name": "CHAMBERS",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.