Kelly Schmader

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5530

Phone

(772) 463-0444

Fax

(772) 219-1339

NPI assigned

Jan 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Behavior Basics, Incorporated

  • Specialist
  • Port St Lucie, FL
  • NPI 1497913214
  NPD
• Behavior Basics, Incorporated

  • Behavior Analyst
  • Port St Lucie, FL
  • NPI 1538406616
  NPD

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1265062244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 SE IRONTON AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526933",
            "telephone_number": "772-463-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-463-0444",
            "fax_number": "772-219-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMADER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Scavella, RRT
• Aaron Micheal Schamback, DMD
• Edward J Scheel, MD
• Lynn A. Scheel, M.D.
• Luz Schelmety-Henriquez, ARNP, BC
• Hannah Marie Schmidt
• Tari Lee Schmit, O.D.
• Jared Schmitt, DMD
• Emily Karyn Scholl, SLP
• School Board of St Lucie County

• Behavior Analyst in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.