Active NPI
Alexis Jovann Mendez, MA, BCBA
- Behavior Analyst
- Cumming, GA
National Provider Identifier
1164963856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4150 Deputy Bill Cantrell Memorial Road
Suite T200
Cumming, GA 30040-3002 - Phone
- (470) 839-3041
- NPI assigned
- Mar 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4150 Deputy Bill Cantrell Memorial Road
Suite T200
Cumming, GA 30040-3002
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Other practice location 1
1550 Hotel Cir N
450
San Diego, CA 92108-2901
Phone (619) 692-1581
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Autism Therapy Services LLC | Behavior Analyst | Past | Accepting new patients |
| Psychiatric Centers at San Diego, Inc. Med GRP | Past | Accepting new patients | |
| Mark David Levine, MD Burlingame PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Behavior Analyst
- Alpharetta, GA
- NPI 1538833827
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841241585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1164963856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
"address_2": "SUITE T200",
"city": "CUMMING",
"state": "GA",
"postal_code": "300403002",
"telephone_number": "470-839-3041"
}
],
"practiceLocations": [
{
"address_1": "1550 Hotel Cir N",
"address_2": "450",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921082901",
"country_code": "US",
"telephone_number": "619-692-1581",
"fax_number": "619-692-1588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ",
"first_name": "ALEXIS",
"middle_name": "JOVANN",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-14",
"last_updated": "2021-05-15",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.