Active NPI
Tina Marie Vankempen
- Behavior Technician
- Troy, NY
National Provider Identifier
1255926549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 318 Brick Church Rd
Troy, NY 12180-8111 - Phone
- (518) 898-4430
- NPI assigned
- Mar 8, 2021
- 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 Technician | 106S00000X | NY | Primary |
Addresses
Primary practice location
318 Brick Church Rd
Troy, NY 12180-8111
Mailing address
2 Computer Dr W Ste 210
Albany, NY 12205-1622
Phone (888) 805-0759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN74699Y | Medicaid | NY |
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": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1255926549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COMPUTER DR W STE 210",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051622",
"telephone_number": "888-805-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 BRICK CHURCH RD",
"city": "TROY",
"state": "NY",
"postal_code": "121808111",
"telephone_number": "518-898-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKEMPEN",
"first_name": "TINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CN74699Y",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.