Active NPI
Eileen Carter-Campos
- Behavior Analyst
- Rosedale, NY
National Provider Identifier
1265887657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 691875
- Practice address
- 14853 235TH St
Rosedale, NY 11422-3270 - Phone
- (347) 661-5739
- NPI assigned
- May 4, 2016
- Last updated
- May 4, 2016
- 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 | 691875 | NY | Primary |
Addresses
Primary practice location
14853 235TH St
Rosedale, NY 11422-3270
Mailing address
148-53 235TH Street
Rosedale, NY 11422
Phone (347) 661-5739
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 691875 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1265887657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148-53 235TH STREET",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "11422",
"telephone_number": "347-661-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14853 235TH ST",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114223270",
"telephone_number": "347-661-5739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER-CAMPOS",
"first_name": "EILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "691875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.