Hanz Phillipe Medard

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

001856 Issued in NY

Practice address

23 Winding Road Farm E
Ardsley, NY 10502-2711

Phone

(914) 400-6714

NPI assigned

Dec 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Networks

• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1497392153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WINDING ROAD FARM E",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WINDING ROAD FARM E",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022711",
            "telephone_number": "914-400-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDARD",
        "first_name": "HANZ",
        "middle_name": "PHILLIPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila J Martin
• Irene Denamarquez Martinez, PHARMD
• Jennifer Anne Mastafiak-Carron, MA, CCC-SLP
• Laura Jean Mathieson
• John Martin McKillop, PT
• Mei Lewis Physical Therapy PLLC
• Memory Helpers Psychological Services, PLLC
• Tevfik Ugur Mentes, MD
• David Merer, MD
• Caroline Mildner, M.S. CCC-SLP

• Behavior Analyst in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.