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Katherine Clancy

Behavior Analyst β€’ Irvine, CA

Active NPI 1619337524 Individual Practitioner Female Practitioner
Practice location in NPPES

38 Executive Park Ste 200
Irvine, CA 926144709

Call 4153022768 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

38 Executive Park Ste 200

Irvine, CA 926144709

Telephone 4153022768

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Irvine and California

376 active clinicians are listed under Behavior Analyst with a practice address in Irvine, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Irvine

0% of these 376 clinicians have the CMS telehealth indicator.

0% of these 376 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA BACB# 1-15-20956

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 12, 2023

Registered at 38 EXECUTIVE PARK STE 200, IRVINE, CA 926144709 (Tel: 4153022768)

πŸ“
Updated Business Mailing Address December 12, 2023

Registered at 377 FREEMAN AVE APT 8, LONG BEACH, CA 908145788 (Tel: 4153022768)

πŸ‘€
Provider Name / Credentials Updated December 12, 2023

Recorded as KATHERINE CLANCY

βœ…
NPI Profile Active March 04, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 04, 2016

Registered at 661 W 1ST ST STE E, TUSTIN, CA 927802939 (Tel: 4153022768)

πŸ“
Business Mailing Address (Initial Record) March 04, 2016

Registered at 3801 E PACIFIC COAST HWY APT 208, LONG BEACH, CA 908042058 (Tel: 4153022768)

πŸ‘€
Provider Name / Credentials (Initial Record) March 04, 2016

Recorded as KATHERINE STAPP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2016

Behavior Analyst (license number reported to NPPES: CA BACB# 1-15-20956)

🟒
Initial NPI Registration & Enumeration March 04, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619337524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2016
Last Update: December 12, 2023
Sole Proprietor: No

Mailing Address

377 Freeman Ave Apt 8

Long Beach, CA 908145788

Phone: 4153022768

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.