Individual provider Active NPI

Robert O'Hare, BCBA

  • Behavior Analyst
  • Staatsburg, NY
National Provider Identifier
1407272909
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1119482 Issued in NY
Practice address
4885 Route 9
Staatsburg, NY 12580-6028
Phone
(845) 889-9255
Fax
(845) 889-4623
NPI assigned
Mar 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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 1119482 NY Primary

Addresses

Primary practice location

4885 Route 9
Staatsburg, NY 12580-6028

Mailing address

PO Box 367
Staatsburg, NY 12580-0367
Phone (845) 889-9255

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
1119482NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1407272909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125800367",
            "telephone_number": "845-889-9255",
            "fax_number": "845-889-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 ROUTE 9",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125806028",
            "telephone_number": "845-889-9255",
            "fax_number": "845-889-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "ROBERT",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1119482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staatsburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.