Individual provider Active NPI

Patricia Lynn Pappert-Corsino, LBS

  • Behavior Analyst
  • Media, PA
National Provider Identifier
1568096097
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH004820 Issued in PA
Practice address
606 E Baltimore Pike FL 2
Media, PA 19063-1751
Phone
(215) 645-5408
Fax
(877) 599-3340
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X BH004820 PA Primary

Addresses

Primary practice location

606 E Baltimore Pike FL 2
Media, PA 19063-1751

Mailing address

606 E Baltimore Pike FL 2
Media, PA 19063-1751
Phone (215) 645-5408

Other identifiers 1

IdentifierTypeStateIssuer
BH004820OtherPABEHAVIOR SPECIALIST

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

LicenseStateTypeSpecialty
BH004820PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aba2Day Behavior Services, LLC Behavior Analyst PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1568096097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E BALTIMORE PIKE FL 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631751",
            "telephone_number": "215-645-5408",
            "fax_number": "877-599-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E BALTIMORE PIKE FL 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631751",
            "telephone_number": "215-645-5408",
            "fax_number": "877-599-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPERT-CORSINO",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "credential": "LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR SPECIALIST",
            "identifier": "BH004820",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.