Individual provider Active NPI

Kelly Elizabeth Deriggi

  • Behavior Analyst
  • Morris Plains, NJ
National Provider Identifier
1457930869
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2467 Route 10 BLDG 36-7B
Morris Plains, NJ 07950-1355
Phone
(862) 209-0167
NPI assigned
Apr 4, 2021
Last updated
Apr 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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 Primary

Addresses

Primary practice location

2467 Route 10 BLDG 36-7B
Morris Plains, NJ 07950-1355

Mailing address

2467 Route 10 BLDG 36-7B
Morris Plains, NJ 07950-1355
Phone (862) 209-0167

Other identifiers 1

IdentifierTypeStateIssuer
799046720OtherOSCAR

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL kelly.deriggi@gmail.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1457930869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 ROUTE 10 BLDG 36-7B",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501355",
            "telephone_number": "862-209-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 ROUTE 10 BLDG 36-7B",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501355",
            "telephone_number": "862-209-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIGGI",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR",
            "identifier": "799046720",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "kelly.deriggi@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2467 Route 10 Bldg 36-7B",
            "city": "Morris Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079501355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.