Individual provider Active NPI

Marisa Dechiaro, MA

  • Behavior Analyst
  • Scarsdale, NY
National Provider Identifier
1154749679
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000762 Issued in NY
Practice address
209 Garth Rd Apt 5E
Scarsdale, NY 10583-8004
Phone
(845) 807-7031
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Behavior Analyst 103K00000X 000762 NY Primary

Addresses

Primary practice location

209 Garth Rd Apt 5E
Scarsdale, NY 10583-8004

Mailing address

209 Garth Rd Apt 5E
Scarsdale, NY 10583-8004
Phone (845) 807-7031

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 Arts

State licenses

LicenseStateTypeSpecialty
000762NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
MVD Applied Behavior Analyst PC Behavior Analyst CurrentSince Jun 26, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1154749679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 GARTH RD APT 5E",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105838004",
            "telephone_number": "845-807-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 GARTH RD APT 5E",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105838004",
            "telephone_number": "845-807-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHIARO",
        "first_name": "MARISA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.