The Bedrock Clinic

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-6595 Issued in NY

Legal business name

THE BEDROCK CLINIC

Doing business as

Melissa Engasser, MS, BCBA

Practice address

347 Plainfield Ave
Suite 108
Edison, NJ 08817-3163

Phone

(646) 377-2109

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Engasser, M.S., BCBANPI 1326377433

Title

Board Certified Behavior Analyst

Phone

(646) 377-2109

Specialties & licenses 1

Addresses

Other names 1

• Melissa Engasser, MS, BCBA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Engasser, M.S.

  • Behavior Analyst
  • Edison, NJ
  • NPI 1326377433
  NPD (past) Authorized official

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1487927661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 PLAINFIELD AVE",
            "address_2": "SUITE 108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173163",
            "telephone_number": "646-377-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 PLAINFIELD AVE",
            "address_2": "SUITE 108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173163",
            "telephone_number": "646-377-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEDROCK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "ENGASSER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "646-377-2109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-09-6595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Engasser, MS, BCBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shubhangi J Thakur, MD
• The Arc Middlesex County
• The Arc Middlesex County
• The Arc Middlesex County
• The Arc Middlesex County
• The Healing Experience Counseling Center
• The Jewish Renaissance Foundation, Inc.
• The Jewish Renaissance Foundation, Inc. (JRF Community Health Center Mobile Unit)
• The Jewish Renaissance Foundation, Inc. (JRF Community Health Center)
• The Jeyamohan Institute PC

• Behavior Analyst in Edison, NJ
• Providers in Edison, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.