NPIMap

Organization Active NPI

Ascend Autism Behavioral Services, PLLC

  • Behavior Analyst
  • Port Chester, NY
National Provider Identifier
1376154690
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ASCEND AUTISM BEHAVIORAL SERVICES, PLLC
Practice address
243 N Regent St
Port Chester, NY 10573-2642
Phone
(617) 233-9907
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Nathan Kronforst
Title
Vice President
Phone
(617) 233-9907

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

243 N Regent St
Port Chester, NY 10573-2642

Mailing address

243 N Regent St
Port Chester, NY 10573-2642
Phone (617) 233-9907

Other identifiers 1

IdentifierTypeStateIssuer
008091107MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Ascend Autism Behavioral Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1376154690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 N REGENT ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105732642",
            "telephone_number": "617-233-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 N REGENT ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105732642",
            "telephone_number": "617-233-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND AUTISM BEHAVIORAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "KRONFORST",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "617-233-9907"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008091107",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.