Active NPI
Karen Wellington, MSED, SAS, SDA
- Early Intervention Provider Agency
- New York, NY
National Provider Identifier
1306119482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 663499061
- Practice address
- 1931 Madison Ave Apt 7B
New York, NY 10035 - Phone
- (914) 299-3677
- NPI assigned
- Feb 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 663499061 | NY | |
| Early Intervention Provider Agency | 252Y00000X | 663499061 | NY | Primary |
Addresses
Primary practice location
1931 Madison Ave Apt 7B
New York, NY 10035
Mailing address
1931 Madison Ave Apt 7B
New York, NY 10035
Phone (914) 299-3677
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 |
|---|---|---|---|
| 663499061 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1306119482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 MADISON AVE APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10035",
"telephone_number": "914-299-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 MADISON AVE APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10035",
"telephone_number": "914-299-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLINGTON",
"first_name": "KAREN",
"credential": "MSED, SAS, SDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-20",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "663499061",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "663499061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.