Active NPI
Lionel Vincent Vanduyne Jr., M.S ED
- Behavior Analyst
- New York, NY
National Provider Identifier
1346505161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 25 Saint Nicholas Ter Apt 26
New York, NY 10027-2834 - Phone
- (917) 539-5920
- NPI assigned
- Jul 9, 2012
- Last updated
- Jul 9, 2012
- Sex
- Male
- 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 | NY | Primary |
Addresses
Primary practice location
25 Saint Nicholas Ter Apt 26
New York, NY 10027-2834
Mailing address
25 Saint Nicholas Ter Apt 26
New York, NY 10027-2834
Phone (917) 539-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | NY | THERAPIST |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1346505161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 SAINT NICHOLAS TER APT 26",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100272834",
"telephone_number": "917-539-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SAINT NICHOLAS TER APT 26",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100272834",
"telephone_number": "917-539-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDUYNE",
"first_name": "LIONEL",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.S ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST",
"identifier": "174400000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.