Individual provider Active NPI

Sophia Pearl McDonald, BCBA

  • Behavior Analyst
  • Springfield, MO
National Provider Identifier
1992573927
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2024001450 Issued in MO
Practice address
909 E Republic Rd Ste B200
Springfield, MO 65807-6016
Phone
(417) 200-2322
NPI assigned
Dec 19, 2023
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 2024001450 MO Primary

Addresses

Primary practice location

909 E Republic Rd Ste B200
Springfield, MO 65807-6016

Mailing address

1770 N Farm Road 197
Springfield, MO 65802-9291
Phone (417) 207-0439

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
2024001450MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Theramotion LLC Behavior Analyst CurrentSince Apr 28, 2024 Accepting new patients

Locations

909 E Republic Rd
Ste B200
Springfield, MO 65807
Phone (417) 200-2322

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1992573927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N FARM ROAD 197",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658029291",
            "telephone_number": "417-207-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E REPUBLIC RD STE B200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076016",
            "telephone_number": "417-200-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SOPHIA",
        "middle_name": "PEARL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2024001450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.