Active NPI
Dorene P Zhulkovsky, MA
- Behavior Analyst
- Simsbury, CT
National Provider Identifier
1386302024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-55606
- Practice address
- 12 Highwood
Simsbury, CT 06070-2510 - Phone
- (860) 305-8436
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 1-21-55606 | CT | Primary |
Addresses
Primary practice location
12 Highwood
Simsbury, CT 06070-2510
Mailing address
1261 Berlin Turnpike
Berlin, CT 06037
Phone (860) 305-8436
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1386302024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 BERLIN TURNPIKE",
"city": "BERLIN",
"state": "CT",
"postal_code": "06037",
"telephone_number": "860-305-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HIGHWOOD",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060702510",
"telephone_number": "860-305-8436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHULKOVSKY",
"first_name": "DORENE",
"middle_name": "P",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-21-55606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simsbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.