Active NPI
Merceal Devault
- Behavior Technician
- Irvine, CA
National Provider Identifier
1326601246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2091 Business Center Dr Ste 150
Irvine, CA 92612-1167 - Phone
- (949) 250-1101
- Fax
- (949) 250-1103
- NPI assigned
- Apr 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2091 Business Center Dr Ste 150
Irvine, CA 92612-1167
Mailing address
2091 Business Center Dr Ste 150
Irvine, CA 92612-1167
Phone (949) 250-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34400 Mission Blvd
Union City, CA 94587-3604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masonic Homes of California | Current | Accepting new patients | |
| Masonic Homes of California | Current | Accepting new patients | |
| Masonic Homes of California | Past | Accepting new patients |
Locations
1111 California St
San Francisco, CA 94108
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.
-
- Community/Behavioral Health Agency
- Union City, CA
- NPI 1114111317
-
- Skilled Nursing Facility
- Covina, CA
- NPI 1639726102
-
- Nursing Facility/Intermediate Care Facility
- Union City, CA
- NPI 1043426588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1326601246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 BUSINESS CENTER DR STE 150",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121167",
"telephone_number": "949-250-1101",
"fax_number": "949-250-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2091 BUSINESS CENTER DR STE 150",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121167",
"telephone_number": "949-250-1101",
"fax_number": "949-250-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVAULT",
"first_name": "MERCEAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.