Active NPI
Faye Vasconcellos, PH.D.
- Behavior Analyst
- Culver City, CA
National Provider Identifier
1306135835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-04-1742
- Practice address
- 6101 W Centinela Ave
Suite 380
Culver City, CA 90230-6337 - Phone
- (310) 337-7827
- Fax
- (310) 337-7840
- NPI assigned
- Apr 5, 2011
- 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 | 1-04-1742 | CA | Primary |
Addresses
Primary practice location
6101 W Centinela Ave
Suite 380
Culver City, CA 90230-6337
Mailing address
6101 W Centinela Ave
Suite 380
Culver City, CA 90230-6337
Phone (310) 337-7827
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star of California | Behavior Analyst | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1306135835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 W CENTINELA AVE",
"address_2": "SUITE 380",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306337",
"telephone_number": "310-337-7827",
"fax_number": "310-337-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 W CENTINELA AVE",
"address_2": "SUITE 380",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306337",
"telephone_number": "310-337-7827",
"fax_number": "310-337-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASCONCELLOS",
"first_name": "FAYE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-04-1742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.