Nasiah Cirincione-Ulezi

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

162 Christine Way
Bolingbrook, IL 60440-6137

Phone

(630) 400-1356

NPI assigned

Dec 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Shawn Virginia Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ulezi LLC

  • Community/Behavioral Health Agency
  • Bolingbrook, IL
  • NPI 1083187363
  NPD (past) Authorized official

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1467636142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CHRISTINE WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406137",
            "telephone_number": "630-400-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CHRISTINE WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406137",
            "telephone_number": "630-400-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRINCIONE-ULEZI",
        "first_name": "NASIAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "ROBINSON",
            "middle_name": "VIRGINIA",
            "prefix": "MS.",
            "credential": "ED.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonal Desai Choudhary, RD, LDN
• Robina Saleem Choudhry, LPC
• Melissa Anne Chrisos
• Angelika Chumikowski
• Mina H Chung, DDS MS
• Baraka James Cirincione
• Citia Health Care Services, Inc
• Nina Clarizio
• Madhu Clark, RD, LDN
• Erika Lauren Clayton, MD

• Behavior Analyst in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.