Individual provider Active NPI

Melinda Joy Tsaclas, M.S, BCBA

  • Behavior Analyst
  • Haleiwa, HI
National Provider Identifier
1104259670
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14076 Issued in HI
Practice address
59-065 Paumalu PL
Haleiwa, HI 96712-9751
Phone
(516) 567-7037
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14076 HI Primary

Addresses

Primary practice location

59-065 Paumalu PL
Haleiwa, HI 96712-9751

Mailing address

59-065 Paumalu PL
Haleiwa, HI 96712-9751
Phone (516) 567-7037

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

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1104259670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59-065 PAUMALU PL",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967129751",
            "telephone_number": "516-567-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59-065 PAUMALU PL",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967129751",
            "telephone_number": "516-567-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSACLAS",
        "first_name": "MELINDA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "M.S, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-13-14076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.