Individual provider Active NPI

Chelsea E Carr, PHD, BCBA-D

  • Behavior Analyst
  • Tucson, AZ
National Provider Identifier
1477134666
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000651 Issued in AZ
Practice address
2575 N Santa Rita Ave
Tucson, AZ 85719-3048
Phone
(602) 647-0710
NPI assigned
Apr 19, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 BEH-000651 AZ Primary

Addresses

Primary practice location

2575 N Santa Rita Ave
Tucson, AZ 85719-3048

Mailing address

2575 N Santa Rita Ave
Tucson, AZ 85719-3048
Phone (602) 647-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216001501 AZ Practitioner - Clinical Psychologist 6901296532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

535 N Wilmot Rd
Suite 101
Tucson, AZ 85711-2683
Phone (520) 694-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Clinics for Rehabilitative Services CurrentSince May 19, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Oct 18, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Oct 18, 2021 Accepting new patients
B--Umg Integrated Health Clinic, LLC Past Accepting new patients

Locations

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1477134666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 N SANTA RITA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857193048",
            "telephone_number": "602-647-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 N SANTA RITA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857193048",
            "telephone_number": "602-647-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CHELSEA",
        "middle_name": "E",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.