Kalie Ellen Chan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6 Martha Rd
Monsey, NY 10952-1406

Phone

(845) 327-7111

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Maryland Autism Care LLC

  • Behavior Analyst
  • Monsey, NY
  • NPI 1558227850
  NPD (past)
• Monsey Licensed Behavior Analyst Services PLLC

  • Behavior Analyst
  • Montvale, NJ
  • NPI 1093181240
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1013673961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 63RD ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236806",
            "telephone_number": "650-722-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MARTHA RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521406",
            "telephone_number": "845-327-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KALIE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Souebatou Chacha
• Chagor Natnah la-Knaani
• Naomi Chaimowitz, OT
• Yael Chait
• Maureen Challacombe
• Mina Chapler
• Jerome Char, MD
• Faiga B Chaskelson, RN
• Jaritza Chavira
• Chaye Gewirtzman LCSW PLLC

• Behavior Analyst in Monsey, NY
• Providers in Monsey, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.