Active NPI
Stephanie Swain, PH.D BCBA-D
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1972057321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-27528
- Practice address
- 5050 N Broadway St
Chicago, IL 60640-4383 - Phone
- (734) 904-8358
- NPI assigned
- Aug 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MI | ||
| Behavior Analyst | 103K00000X | 1-17-27528 | Primary |
Addresses
Primary practice location
5050 N Broadway St
Chicago, IL 60640-4383
Mailing address
1530 S State St Apt 527
Chicago, IL 60605-2971
Phone (734) 904-8358
Other practice location 1
1530 S State St Apt 527
Chicago, IL 60605-2971
Phone (734) 904-8358
Other practice location 2
47 W Polk St
Chicago, IL 60605-2000
Phone (734) 904-8358
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1972057321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 S STATE ST APT 527",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052971",
"telephone_number": "734-904-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404383",
"telephone_number": "734-904-8358"
}
],
"practiceLocations": [
{
"address_1": "1530 S State St Apt 527",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606052971",
"country_code": "US",
"telephone_number": "734-904-8358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47 W Polk St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606052000",
"country_code": "US",
"telephone_number": "734-904-8358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWAIN",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PH.D BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-14",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-17-27528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.