Chad Christopher Chieffallo, M.ED, LMFT, BCBA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4599 Issued in FL

Practice address

264 Bergamot Loop
Davenport, FL 33837-7721

Phone

(352) 223-1500

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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.

• Bumblebee ABA Inc

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1154076248
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1063908150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BERGAMOT LOOP",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377721",
            "telephone_number": "352-223-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BERGAMOT LOOP",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377721",
            "telephone_number": "352-223-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEFFALLO",
        "first_name": "CHAD",
        "middle_name": "CHRISTOPHER",
        "credential": "M.ED, LMFT, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-06-13",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-59812",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obed Charles
• Marco Chase
• Lisa Chatmon
• Micka Chavre
• Tutu Cheng, MD
• Dawn Erin Christensen, PSYD
• Chromey Chiropractic Family & Sports, LLC
• William Stephen Chromey, D.C.
• Chughtai Holdings Inc
• Louisa Cintron

• Marriage & Family Therapist in Davenport, FL
• Providers in Davenport, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.