Active NPI
Erin Kathleen Beatty
- Behavior Analyst
- Lake Grove, NY
National Provider Identifier
1346387727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 00791-01
- Practice address
- 16 Oak St
Lake Grove, NY 11755-2930 - Phone
- (631) 467-0769
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 00791-01 | NY | Primary |
Addresses
Primary practice location
16 Oak St
Lake Grove, NY 11755-2930
Mailing address
16 Oak St
Lake Grove, NY 11755-2930
Phone (631) 467-0769
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 |
|---|---|---|---|
| 00791-01 | NY | MD | Behavioral Analyst |
Networks
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1346387727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 OAK ST",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552930",
"telephone_number": "631-467-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 OAK ST",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552930",
"telephone_number": "631-467-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "ERIN",
"middle_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "00791-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.