Carolyn Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1691 Norwich New London Tpke Apt B6
Uncasville, CT 06382-1326

Phone

(860) 608-3653

NPI assigned

Mar 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carolyn Hickey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lotus Behavioral Consultation

  • Community/Behavioral Health Agency
  • Vernon, CT
  • NPI 1235685504
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1194141580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 NORWICH NEW LONDON TPKE APT B6",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 NORWICH NEW LONDON TPKE APT B6",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821326",
            "telephone_number": "860-608-3653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 W Hillsboro Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330734397",
            "country_code": "US",
            "telephone_number": "561-501-2884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5586 Lakewood Cir W Apt C",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330635240",
            "country_code": "US",
            "telephone_number": "860-608-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-15-20776",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HICKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Scirpo, RPT
• Dominique Seignious
• Joann Seraphin
• Raza M Shariff, MD
• Jeffrey Slocum
• Elizabeth Smith
• Southeastern CT Nephrology Assoc PC
• Southeastern CT Nephrology Assoc.
• Kathy F. Stelik, OTRL
• Stephanie Sloan (Stephanie Sloan APRN LLC)

• Behavior Analyst in Uncasville, CT
• Providers in Uncasville, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.