Active NPI
Audrey Crucetti
- Behavior Analyst
- West Chazy, NY
National Provider Identifier
1538532445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000083
- Practice address
- 147 Town Line Rd
West Chazy, NY 12992-3931 - Phone
- (518) 420-3443
- NPI assigned
- Nov 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 000083 | NY | Primary |
Addresses
Primary practice location
147 Town Line Rd
West Chazy, NY 12992-3931
Mailing address
147 Town Line Rd
West Chazy, NY 12992-3931
Phone (518) 420-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000083 | Other | NY | NEW YORK STATE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1538532445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 TOWN LINE RD",
"city": "WEST CHAZY",
"state": "NY",
"postal_code": "129923931",
"telephone_number": "518-420-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 TOWN LINE RD",
"city": "WEST CHAZY",
"state": "NY",
"postal_code": "129923931",
"telephone_number": "518-420-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUCETTI",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE",
"identifier": "000083",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chazy, NY
- Ashley B Carpenter, DPT, PT
- Kimberly Kay Chamberlain, REGISTERED NURSE
- Rachael Christiana, M.A. CCC - SLP
- Scott Alan Coleman, RN, MS, AE-C
- Melinda Joan Conroy, OTR
- Michaela Davison, RN
- Renay Lee Desrocher, REGISTERED NURSE
- Sherry Ann Deyo-Pugh, REGISTERED NURSE
- Jo Dragoon-Morse, R.D.
- Gina Joann Faoro Gratton, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.