Individual provider Active NPI

Lindsay Feltis, PH.D. BCBA-D

  • Behavior Analyst
  • Eugene, OR
National Provider Identifier
1255849899
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27770 Issued in CA
Practice address
2222 Martin Luther King Jr Blvd
Eugene, OR 97401-2475
Phone
(541) 224-6987
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 1-17-27770 CA Primary

Addresses

Primary practice location

2222 Martin Luther King Jr Blvd
Eugene, OR 97401-2475

Mailing address

2780 Tyler St
Eugene, OR 97405-2271
Phone (805) 795-2846

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
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
New Summit Behavioral Therapy, LLC Behavior Analyst PastSince Sep 23, 2024 Accepting new patients
A Behavioral Health Cooperative, L.L.C. Behavior Analyst PastSince Jul 1, 2022 Accepting new patients
The Abc Group, L.L.C. Behavior Analyst PastSince Mar 26, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1255849899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 TYLER ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052271",
            "telephone_number": "805-795-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MARTIN LUTHER KING JR BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012475",
            "telephone_number": "541-224-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTIS",
        "first_name": "LINDSAY",
        "credential": "PH.D. BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-27770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.