Active NPI
Cheryl Loren Newcomer, MSED, BCBA, LBA
- Behavior Analyst
- Astoria, NY
National Provider Identifier
1487925384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000119
- Practice address
- 2638 21St St Apt 3B
Astoria, NY 11102-4197 - Phone
- (917) 670-9665
- NPI assigned
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1073395 | NC | |
| Behavior Analyst | 103K00000X | 000119 | NY | Primary |
Addresses
Primary practice location
2638 21St St Apt 3B
Astoria, NY 11102-4197
Mailing address
2638 21St St Apt 3B
Astoria, NY 11102-4197
Phone (917) 670-9665
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073395 | NC | MD | Behavioral Analyst |
| 000119 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697241600000",
"number": "1487925384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2638 21ST ST APT 3B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024197",
"telephone_number": "917-670-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2638 21ST ST APT 3B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024197",
"telephone_number": "917-670-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMER",
"first_name": "CHERYL",
"middle_name": "LOREN",
"credential": "MSED, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2023-10-14",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1073395",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.