Active NPI
Dimitra Carey
- Behavior Analyst
- Wilkes Barre, PA
National Provider Identifier
1225651987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012 - Phone
- (570) 846-1025
- Fax
- (570) 904-8571
- NPI assigned
- May 28, 2020
- Last updated
- Nov 11, 2024
- Sex
- Female
- 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
1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012
Mailing address
1425 Electric St
Dunmore, PA 18509-2016
Phone (570) 498-8829
Other names 1
- Dimitra Livanos
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendship House | Past | Accepting new patients | |
| Friendship House | Past | Accepting new patients | |
| NLS ABA Services LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/friendshiphousepa/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Honesdale, PA
- NPI 1588785646
-
- Adolescent and Children Mental Health Clinic/Center
- Scranton, PA
- NPI 1952373250
-
- Adolescent and Children Mental Health Clinic/Center
- Plains, PA
- NPI 1962019406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1225651987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 ELECTRIC ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185092016",
"telephone_number": "570-498-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 HIGHWAY 315 BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027012",
"telephone_number": "570-846-1025",
"fax_number": "570-904-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "DIMITRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIMITRA",
"last_name": "LIVANOS",
"credential": "MS, LBS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.