Individual provider Active NPI

Michelle Doonan, SPECIAL EDUCATOR

  • Behavior Analyst
  • Rivervale, NJ
National Provider Identifier
1992083471
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
550 Roosevelt Ave
Rivervale, NJ 07675-5561
Phone
(201) 925-6576
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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 NJ Primary

Addresses

Primary practice location

550 Roosevelt Ave
Rivervale, NJ 07675-5561

Mailing address

550 Roosevelt Ave
Rivervale, NJ 07675-5561
Phone (201) 925-6576

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

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1992083471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ROOSEVELT AVE",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076755561",
            "telephone_number": "201-925-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ROOSEVELT AVE",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076755561",
            "telephone_number": "201-925-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOONAN",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "SPECIAL EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rivervale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.