Active NPI
Chelsea Melanie Roy, MA,BCBA, LBA
- Behavior Analyst
- Newport, VT
National Provider Identifier
1417307299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 146-0134124
- Practice address
- 212 Prouty Dr Ste 2
Newport, VT 05855-9455 - Phone
- (802) 557-0941
- NPI assigned
- Jun 13, 2016
- 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 | 146-0134124 | VT | Primary |
Addresses
Primary practice location
212 Prouty Dr Ste 2
Newport, VT 05855-9455
Mailing address
PO Box 269
Orleans, VT 05860-0269
Other practice location 1
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 524-6554
Other practice location 2
4456 Manzanita Ave
Clearlake, CA 95422-7200
Phone (802) 557-0941
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-0134124 | VT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Advocacy and Intervention, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
212 Prouty Dr
Ste 2
Newport, VT 05855
Phone (802) 334-8002
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Newport, VT
- NPI 1811374440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1417307299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 269",
"city": "ORLEANS",
"state": "VT",
"postal_code": "058600269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 PROUTY DR STE 2",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559455",
"telephone_number": "802-557-0941"
}
],
"practiceLocations": [
{
"address_1": "107 Fisher Pond Rd",
"address_purpose": "LOCATION",
"city": "Saint Albans",
"state": "VT",
"postal_code": "054786286",
"country_code": "US",
"telephone_number": "802-524-6554",
"fax_number": "802-524-6562",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4456 Manzanita Ave",
"address_purpose": "LOCATION",
"city": "Clearlake",
"state": "CA",
"postal_code": "954227200",
"country_code": "US",
"telephone_number": "802-557-0941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "CHELSEA",
"middle_name": "MELANIE",
"credential": "MA,BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VT",
"license": "146-0134124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.