John J Pokrzywinski, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1522

Practice address

711 SW 46TH St
Ankeny, IA 50023-8273

Phone

(515) 783-4322

NPI assigned

Mar 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John J Pokrzywinski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1568632107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SW 46TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238273",
            "telephone_number": "515-783-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SW 46TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238273",
            "telephone_number": "515-783-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKRZYWINSKI",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-04-1522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568632107",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "POKRZYWINSKI",
            "middle_name": "J",
            "credential": "MA, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Behavior Analyst in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.