Active NPI
Kelly Smith
- Behavior Analyst
- Manheim, PA
National Provider Identifier
1154731644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH000913
- Practice address
- 618 Hamaker Rd
Manheim, PA 17545-9134 - Phone
- (717) 519-9740
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 06610965 | PA | |
| Behavior Analyst | 103K00000X | BH000913 | PA | Primary |
Addresses
Primary practice location
618 Hamaker Rd
Manheim, PA 17545-9134
Mailing address
618 Hamaker Rd
Manheim, PA 17545-9134
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06610965 | PA | MD | School Counselor |
| BH000913 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1154731644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 HAMAKER RD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175459134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 HAMAKER RD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175459134",
"telephone_number": "717-519-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KELLY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "PA",
"license": "06610965",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manheim, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.