Melissa Zeidman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

17230 Jackson Creek Pkwy Ste 220
Monument, CO 80132-7304

Phone

(719) 488-3348

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1336700590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19120 ROSEWOOD WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 JACKSON CREEK PKWY STE 220",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327304",
            "telephone_number": "719-488-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19120 Rosewood Way",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801328948",
            "country_code": "US",
            "telephone_number": "303-704-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEIDMAN",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Wormald, DPT
• Shannon Wright, PMHNP-BC, FNP-C
• Yasmine Wright, ATC
• Jacey Yancey
• Cheryl Young, MS, CCC/SLP
• Megan Zuber, MED, MC, LPC

• Behavior Analyst in Monument, CO
• Providers in Monument, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.