NPIMap

Individual provider Active NPI

Moya Alice Esther Djinko

  • Behavior Analyst
  • Silver Spring, MD
National Provider Identifier
1467043091
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
816 Thayer Ave FL 1
Silver Spring, MD 20910-4593
Phone
(301) 755-6107
Fax
(301) 755-6105
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Child Physical Disabilities Respite Care 385HR2065X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

816 Thayer Ave FL 1
Silver Spring, MD 20910-4593

Mailing address

816 Thayer Ave FL 1
Silver Spring, MD 20910-4593
Phone (301) 755-6107

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Disability Services Respite Care, Intellectual and/Or Developmental Disabilities, Child CurrentSince Jul 2, 2023 Accepting new patients
Comprehensive Disability Services Behavior Analyst CurrentSince Jan 1, 2021 Accepting new patients

Locations

816 Thayer Ave
Fl 1
Silver Spring, MD 20910
Phone (301) 755-6107

Organizations & group practices 2

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1467043091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 THAYER AVE FL 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104593",
            "telephone_number": "301-755-6107",
            "fax_number": "301-755-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 THAYER AVE FL 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104593",
            "telephone_number": "301-755-6107",
            "fax_number": "301-755-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJINKO",
        "first_name": "MOYA",
        "middle_name": "ALICE ESTHER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

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

Verify at the official NPI Registry.