Active NPI
Jamie Lorraine Reale, MS SPECIAL EDUCATION
- Behavior Analyst
- New York, NY
National Provider Identifier
1104265602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1768311
- Practice address
- 116 W 32ND St
New York, NY 10001-3212 - Phone
- (212) 564-2350
- NPI assigned
- Jun 18, 2013
- 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 | 1768311 | NY | Primary |
Addresses
Primary practice location
116 W 32ND St
New York, NY 10001-3212
Mailing address
15 Salamander CT
Staten Island, NY 10309-1930
Phone (347) 630-7067
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 |
|---|---|---|---|
| 1768311 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1104265602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SALAMANDER CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091930",
"telephone_number": "347-630-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W 32ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013212",
"telephone_number": "212-564-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REALE",
"first_name": "JAMIE",
"middle_name": "LORRAINE",
"name_prefix": "Ms.",
"credential": "MS SPECIAL EDUCATION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1768311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.