Active NPI
Jessica Lynn Gutmann, BCBA, LBA
- Behavior Analyst
- Rocky Point, NY
National Provider Identifier
1073997284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 004271
- Practice address
- 1 Pigeon Rd
Rocky Point, NY 11778-9607 - Phone
- (631) 445-5265
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | |||
| Behavior Analyst | 103K00000X | 004271 | NY | Primary |
Addresses
Primary practice location
1 Pigeon Rd
Rocky Point, NY 11778-9607
Mailing address
1 Pigeon Rd
Rocky Point, NY 11778-9607
Phone (631) 445-5265
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004271 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1073997284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PIGEON RD",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117789607",
"telephone_number": "631-445-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PIGEON RD",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117789607",
"telephone_number": "631-445-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMANN",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "004271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.