Individual provider Active NPI

Nykia Comerie I

  • Behavior Analyst
  • Bronx, NY
National Provider Identifier
1104406602
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3539751 Issued in NY
Practice address
3250 Westchester Ave
Bronx, NY 10461-4500
Phone
(347) 621-2185
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 3539751 NY Primary

Addresses

Primary practice location

3250 Westchester Ave
Bronx, NY 10461-4500

Mailing address

4144 Bruner Ave
Bronx, NY 10466-2028
Phone (646) 245-3388

Other names 1

  • Miss Nykia Comerie I Former name

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

LicenseStateTypeSpecialty
3539751NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1104406602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 BRUNER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662028",
            "telephone_number": "646-245-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "347-621-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMERIE",
        "first_name": "NYKIA",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "3539751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYKIA",
            "last_name": "COMERIE",
            "prefix": "MISS",
            "suffix": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.