Individual provider Active NPI

Jacqueline C Skeen

  • Behavior Analyst
  • White Plains, NY
National Provider Identifier
1386083947
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
889596 Issued in NY
Practice address
157 Chatterton Pkwy
White Plains, NY 10606-2208
Phone
(646) 298-4900
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 889596 NY Primary

Addresses

Primary practice location

157 Chatterton Pkwy
White Plains, NY 10606-2208

Mailing address

157 Chatterton Pkwy
White Plains, NY 10606-2208
Phone (646) 298-4900

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
889596NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1386083947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CHATTERTON PKWY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062208",
            "telephone_number": "646-298-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CHATTERTON PKWY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062208",
            "telephone_number": "646-298-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEEN",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "889596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.