Individual provider Active NPI

Amanda Lindsay Beckerman, M.S.ED M.S.SPED

  • Behavior Analyst
  • Oceanside, NY
National Provider Identifier
1164869012
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2911 Allon St
Oceanside, NY 11572-4701
Phone
(516) 457-9183
NPI assigned
Jun 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 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 NY
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2911 Allon St
Oceanside, NY 11572-4701

Mailing address

2911 Allon St
Oceanside, NY 11572-4701
Phone (516) 457-9183

Other practice location 1

1338 44th St
Brooklyn, NY 11219-2108
Phone (718) 304-9977

Other practice location 2

900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667
Phone (718) 304-9977

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Licensed Behavior Analyst PLLC Behavior Analyst PastSince Jul 12, 2020 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, 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": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1164869012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ALLON ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724701",
            "telephone_number": "516-457-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ALLON ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724701",
            "telephone_number": "516-457-9183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 44th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192108",
            "country_code": "US",
            "telephone_number": "718-304-9977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Old Roswell Lakes Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300768667",
            "country_code": "US",
            "telephone_number": "718-304-9977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKERMAN",
        "first_name": "AMANDA",
        "middle_name": "LINDSAY",
        "credential": "M.S.ED  M.S.SPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.