Individual provider Active NPI

Donna Phelps, BCBA, LABA

  • Behavior Analyst
  • North Andover, MA
National Provider Identifier
1285058776
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
611 Issued in MA
Practice address
200 Sutton St Ste 120
North Andover, MA 01845-1651
Phone
(774) 206-1125
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 611 MA Primary

Addresses

Primary practice location

200 Sutton St Ste 120
North Andover, MA 01845-1651

Mailing address

5 Hidden Ponds Dr
East Longmeadow, MA 01028-1242
Phone (413) 335-9030

Other practice location 1

2374 Post Rd Ste 107
Warwick, RI 02886-2270
Phone (774) 206-1125

Other practice location 2

1 Radisson Plz # 8
New Rochelle, NY 10801-5766
Phone (774) 206-1125

Other practice location 3

340 Granite St Fl 3
Manchester, NH 03102-4000
Phone (774) 206-1125

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

LicenseStateTypeSpecialty
611MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Associates Inc. Past Accepting new patients
Northeast Family Services of New Hampshire, Inc. Past Accepting new patients
Northeast Behavioral Associates Past 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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1285058776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HIDDEN PONDS DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281242",
            "telephone_number": "413-335-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SUTTON ST STE 120",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451651",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2374 Post Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862270",
            "country_code": "US",
            "telephone_number": "774-206-1125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Radisson Plz # 8",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015766",
            "country_code": "US",
            "telephone_number": "774-206-1125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Granite St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031024000",
            "country_code": "US",
            "telephone_number": "774-206-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DONNA",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.