Active NPI
Nicole Zygmont, M.ED., LBS
- Behavior Analyst
- Glenside, PA
National Provider Identifier
1427652478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH004857
- Practice address
- 654 N Easton Rd
Glenside, PA 19038-4310 - Phone
- (844) 966-0703
- NPI assigned
- Nov 30, 2020
- Last updated
- Jul 19, 2022
- 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 | BH004857 | PA | Primary |
Addresses
Primary practice location
654 N Easton Rd
Glenside, PA 19038-4310
Mailing address
7002 W Butler Pike FL 1
Ambler, PA 19002-5107
Phone (215) 285-3688
Other practice location 1
7002 W Butler Pike Fl 1
Ambler, PA 19002-5107
Phone (215) 285-3688
Other names 1
- Nicole Herbert
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH004857 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Connections, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Roslyn, PA
- NPI 1598190175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1427652478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 W BUTLER PIKE FL 1",
"city": "AMBLER",
"state": "PA",
"postal_code": "190025107",
"telephone_number": "215-285-3688",
"fax_number": "844-966-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 N EASTON RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384310",
"telephone_number": "844-966-0703"
}
],
"practiceLocations": [
{
"address_1": "7002 W Butler Pike Fl 1",
"address_purpose": "LOCATION",
"city": "Ambler",
"state": "PA",
"postal_code": "190025107",
"country_code": "US",
"telephone_number": "215-285-3688",
"fax_number": "844-966-0703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZYGMONT",
"first_name": "NICOLE",
"credential": "M.ED., LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH004857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HERBERT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.