Individual provider Active NPI

Catherine Gabrielle Moceri

  • Behavior Technician
  • Melbourne, FL
National Provider Identifier
1053929562
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
M260127005940 Issued in FL
Practice address
5500 Murrell Rd Unit 100
Melbourne, FL 32940-6700
Phone
(321) 426-7759
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X I526-127-00-594-0 FL
Behavior Technician 106S00000X M260127005940 FL Primary

Addresses

Primary practice location

5500 Murrell Rd Unit 100
Melbourne, FL 32940-6700

Mailing address

571 Lake Ashley Cir
Melbourne, FL 32904-1984
Phone (772) 380-5632

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
M260127005940FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1053929562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 LAKE ASHLEY CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041984",
            "telephone_number": "772-380-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MURRELL RD UNIT 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406700",
            "telephone_number": "321-426-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCERI",
        "first_name": "CATHERINE",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "I526-127-00-594-0",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "M260127005940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.