Individual provider Active NPI

Cynthia D'Arcy

  • Assistant Behavior Analyst
  • Wickatunk, NJ
National Provider Identifier
1407394349
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
1-16-21591 Issued in NJ
Practice address
160 Conover Road
Collier Youth Services
Wickatunk, NJ 07765
Phone
(732) 946-4771
Fax
(732) 946-3519
NPI assigned
Feb 10, 2017
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL04994800 NJ
Assistant Behavior Analyst 106E00000X 1-16-21591 NJ Primary

Addresses

Primary practice location

160 Conover Road
Collier Youth Services
Wickatunk, NJ 07765

Mailing address

160 Conover Road
Collier Youth Services
Wickatunk, NJ 07765
Phone (732) 946-4771

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
44SL04994800NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1407394349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CONOVER ROAD",
            "address_2": "COLLIER YOUTH SERVICES",
            "city": "WICKATUNK",
            "state": "NJ",
            "postal_code": "07765",
            "telephone_number": "732-946-4771",
            "fax_number": "732-946-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CONOVER ROAD",
            "address_2": "COLLIER YOUTH SERVICES",
            "city": "WICKATUNK",
            "state": "NJ",
            "postal_code": "07765",
            "telephone_number": "732-946-4771",
            "fax_number": "732-946-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ARCY",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL04994800",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NJ",
            "license": "1-16-21591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickatunk, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.