Individual provider Active NPI

Rachel L Bissi

  • Behavior Analyst
  • Waltham, MA
National Provider Identifier
1588981237
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
460 Totten Pond Rd
Suite 300
Waltham, MA 02451-1991
Phone
(781) 895-3200
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

460 Totten Pond Rd
Suite 300
Waltham, MA 02451-1991

Mailing address

40 Evergreen St
Apt. 2
Jamaica Plain, MA 02130-1116
Phone (248) 880-6357

Other names 1

  • Ryan Bissi Other name

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1588981237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 EVERGREEN ST",
            "address_2": "APT. 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301116",
            "telephone_number": "248-880-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 TOTTEN POND RD",
            "address_2": "SUITE 300",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511991",
            "telephone_number": "781-895-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSI",
        "first_name": "RACHEL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "BISSI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.