Organization Active NPI

Susan Deikman LLC

  • Behavior Analyst
  • Elkins Park, PA
National Provider Identifier
1033646005
Registry record updated May 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH003162 Issued in PA
Legal business name
SUSAN DEIKMAN LLC
Practice address
7401 Old York Rd
Carriage House
Elkins Park, PA 19027-3005
Phone
(215) 586-1865
Fax
(512) 853-2523
NPI assigned
May 21, 2017
Last updated
May 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2017

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

Authorized official

Name
Susan Deikman, MS, BCBA, LBSNPI 1114462348
Title
Managing Partner
Phone
(215) 586-1865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH003162 PA Primary
Assistant Behavior Analyst 106E00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

7401 Old York Rd
Carriage House
Elkins Park, PA 19027-3005

Mailing address

8222 Westminster Rd
Elkins Park, PA 19027-1409
Phone (215) 586-1865

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495324800000",
    "number": "1033646005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 WESTMINSTER RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271409",
            "telephone_number": "12155861865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OLD YORK RD",
            "address_2": "CARRIAGE HOUSE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273005",
            "telephone_number": "215-586-1865",
            "fax_number": "512-853-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DEIKMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-21",
        "last_updated": "2017-05-21",
        "status": "A",
        "authorized_official_last_name": "DEIKMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "215-586-1865",
        "authorized_official_credential": "MS, BCBA, LBS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003162",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2017; 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.