Individual provider Active NPI

Jamie Devlin

  • Behavior Analyst
  • Philadelphia, PA
National Provider Identifier
1184177453
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-12212
Practice address
2900 Southampton Rd
Philadelphia, PA 19154-1202
Phone
(215) 518-1738
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 1-12-12212 Primary

Addresses

Primary practice location

2900 Southampton Rd
Philadelphia, PA 19154-1202

Mailing address

4490 Livingston St
Philadelphia, PA 19137-1622
Phone (215) 518-1738

Other practice location 1

1851 Old Cuthbert Rd
Cherry Hill, NJ 08034-1415
Phone (484) 681-2170

Other practice location 2

583 Shoemaker Rd Ste 230
King Of Prussia, PA 19406-4238
Phone (484) 681-2170

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

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1184177453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 LIVINGSTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371622",
            "telephone_number": "215-518-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SOUTHAMPTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541202",
            "telephone_number": "215-518-1738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Old Cuthbert Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341415",
            "country_code": "US",
            "telephone_number": "484-681-2170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "583 Shoemaker Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194064238",
            "country_code": "US",
            "telephone_number": "484-681-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-12212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.