Chelsea Lynn Phillips-Payne, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27384 Issued in CO

Practice address

903 Lake Lily Dr Apt A122
Maitland, FL 32751

Phone

(502) 612-3474

NPI assigned

Apr 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chelsea Truesdell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Walden Behavior Solutions, LLC

  • Behavior Analyst
  • Louisville, KY
  • NPI 1568851889
  NPD (past)

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1366977910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 LAKE LILY DR APT A122",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517606",
            "telephone_number": "502-612-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 LAKE LILY DR APT A122",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "502-612-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-PAYNE",
        "first_name": "CHELSEA",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-17-27384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019557900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "TRUESDELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thu Pham, OD
• Anthony Phan
• Pharmacist Choice Inc.
• Pharmacy Investment Coordinators, Inc
• Lillian Phelps
• Gregory David Phillips, M.S.
• Hannah Elizabeth Phillips, PMHNP-BC
• Phyllis Phipps
• Physician Associates LLC
• Physicians Trust Mso, LLC

• Behavior Analyst in Maitland, FL
• Providers in Maitland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.