Individual provider Active NPI

Susan Deikman, MS, BCBA, LBS

  • Behavior Analyst
  • Elkins Park, PA
National Provider Identifier
1114462348
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH003162 Issued in PA
Practice address
8222 Westminster Rd
Elkins Park, PA 19027-1409
Phone
(215) 586-1865
NPI assigned
Dec 26, 2016
Last updated
Dec 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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 BH003162 PA Primary

Addresses

Primary practice location

8222 Westminster Rd
Elkins Park, PA 19027-1409

Mailing address

8222 Westminster Rd
Elkins Park, PA 19027-1409
Phone (215) 586-1865

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

LicenseStateTypeSpecialty
BH003162PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Deikman LLC Behavior Analyst Current Accepting new patients
Bluebird ABA LLC Behavior Analyst CurrentSince Jan 10, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1114462348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 WESTMINSTER RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271409",
            "telephone_number": "215-586-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 WESTMINSTER RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271409",
            "telephone_number": "215-586-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIKMAN",
        "first_name": "SUSAN",
        "credential": "MS, BCBA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.