Individual provider Active NPI

Katia A Constantinides, M.A.

  • Behavior Analyst
  • Palm City, FL
National Provider Identifier
1033449194
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001156 Issued in NY
Practice address
1765 SW Captains PL
Palm City, FL 34990-1747
Phone
(772) 266-8727
Fax
(772) 494-7093
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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 001156 NY Primary

Addresses

Primary practice location

1765 SW Captains PL
Palm City, FL 34990-1747

Mailing address

8239 NW 127TH LN
Parkland, FL 33076-4912
Phone (646) 209-2669

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
001156NYMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Simplyaba, LLC Behavior Analyst CurrentSince Aug 2, 2020 Accepting new patients
Connections Therapy LLC Behavior Analyst Past Accepting new patients
My Favorite Therapists, LLC Behavior Analyst PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1033449194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8239 NW 127TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764912",
            "telephone_number": "646-209-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 SW CAPTAINS PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901747",
            "telephone_number": "772-266-8727",
            "fax_number": "772-494-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINIDES",
        "first_name": "KATIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.