Active NPI
Jamie Lynn Damiter, MS
- Behavior Analyst
- Ashland, PA
National Provider Identifier
1093342529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH004681
- Practice address
- 26 Pine St
Ashland, PA 17921-9584 - Phone
- (570) 789-4832
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH004681 | PA | Primary |
Addresses
Primary practice location
26 Pine St
Ashland, PA 17921-9584
Mailing address
26 Pine St
Ashland, PA 17921-9584
Phone (570) 789-4832
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH004681 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Orwigsburg, PA
- NPI 1760503981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1093342529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 PINE ST",
"city": "ASHLAND",
"state": "PA",
"postal_code": "179219584",
"telephone_number": "570-789-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 PINE ST",
"city": "ASHLAND",
"state": "PA",
"postal_code": "179219584",
"telephone_number": "570-789-4832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMITER",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH004681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.