Active NPI
Jessica Elizabeth Lewkowicz
- Behavior Analyst
- Windsor, CT
National Provider Identifier
1275180366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1580
- Practice address
- 835 Bloomfield Ave
Windsor, CT 06095-2363 - Phone
- (860) 413-9538
- NPI assigned
- Aug 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CT | ||
| Behavior Analyst | 103K00000X | 1580 | CT | Primary |
Addresses
Primary practice location
835 Bloomfield Ave
Windsor, CT 06095-2363
Mailing address
21 Case Cir
Higganum, CT 06441-4434
Phone (860) 682-5118
Other practice location 1
101 Centerpoint Dr
Middletown, CT 06457-7568
Phone (818) 241-6780
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 |
|---|---|---|---|
| Creative Interventions | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Windsor, CT
- NPI 1740688001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1275180366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CASE CIR",
"city": "HIGGANUM",
"state": "CT",
"postal_code": "064414434",
"telephone_number": "860-682-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 BLOOMFIELD AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952363",
"telephone_number": "860-413-9538"
}
],
"practiceLocations": [
{
"address_1": "101 Centerpoint Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064577568",
"country_code": "US",
"telephone_number": "818-241-6780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWKOWICZ",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.