Individual provider Active NPI

Lauren Varricchio

  • Behavior Analyst
  • Middletown, NY
National Provider Identifier
1346502424
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-51739 Issued in NY
Practice address
2250 Goshen Tpke
Middletown, NY 10941-4031
Phone
(845) 360-5744
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 484070101 NY
Behavior Analyst 103K00000X 1-21-51739 NY Primary

Addresses

Primary practice location

2250 Goshen Tpke
Middletown, NY 10941-4031

Mailing address

824 Bay Shore Ave
West Islip, NY 11795-1538
Phone (516) 835-9942

Other practice location 1

824 Bay Shore Ave
West Islip, NY 11795-1538
Phone (516) 835-9942

Other practice location 2

4 Fern Pl
Plainview, NY 11803-4725
Phone (516) 933-4700

Other identifiers 1

IdentifierTypeStateIssuer
174400000XOtherNYTEACHER

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

LicenseStateTypeSpecialty
484070101NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tara L. Montemurro, Licensed Behavior Analyst, P.C Behavior Analyst CurrentSince Feb 18, 2024 Accepting new patients
Association for Children With Down Syndrome, Inc. Past Accepting new patients

Locations

2250 Goshen Tpke
Middletown, NY 10941
Phone (845) 360-5744

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1346502424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BAY SHORE AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951538",
            "telephone_number": "516-835-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GOSHEN TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414031",
            "telephone_number": "845-360-5744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 Bay Shore Ave",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117951538",
            "country_code": "US",
            "telephone_number": "516-835-9942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Fern Pl",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034725",
            "country_code": "US",
            "telephone_number": "516-933-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARRICCHIO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "484070101",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-21-51739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER",
            "identifier": "174400000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.