Individual provider Active NPI

Dana Chambers, LMHC, MS ED.

  • Behavior Analyst
  • Islandia, NY
National Provider Identifier
1437699311
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
18 007213 Issued in NY
Practice address
1737 Veterans Memorial Hwy
Suite 1
Islandia, NY 11749-1529
Phone
(631) 479-2900
Fax
(631) 417-3048
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18 007213 NY
Behavior Analyst 103K00000X 18 007213 NY Primary

Addresses

Primary practice location

1737 Veterans Memorial Hwy
Suite 1
Islandia, NY 11749-1529

Mailing address

1737 Veterans Memorial Hwy
Suite 1
Islandia, NY 11749-1529
Phone (631) 479-2900

Other names 1

  • Dana Rostern Former name

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 Science

State licenses

LicenseStateTypeSpecialty
18 007213NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Marra & Glick Applied Behavior Analysts, PLLC Behavior Analyst 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1437699311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 1",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491529",
            "telephone_number": "631-479-2900",
            "fax_number": "631-417-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 1",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491529",
            "telephone_number": "631-479-2900",
            "fax_number": "631-417-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "LMHC, MS ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18 007213",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "18 007213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "ROSTERN",
            "credential": "LMHC, MS ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.