Individual provider Active NPI

Joanne Marie Contegiacomo

  • Behavior Technician
  • Kennesaw, GA
National Provider Identifier
1598028078
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
818 Clarinbridge Pkwy NW
Kennesaw, GA 30144-6658
Phone
(516) 652-8008
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY
Behavior Technician 106S00000X GA Primary

Addresses

Primary practice location

818 Clarinbridge Pkwy NW
Kennesaw, GA 30144-6658

Mailing address

818 Clarinbridge Pkwy NW
Kennesaw, GA 30144-6658
Phone (516) 652-8008

Other practice location 1

372 Woodbury Rd
Hicksville, NY 11801-3036
Phone (516) 652-8008

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1598028078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CLARINBRIDGE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446658",
            "telephone_number": "516-652-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CLARINBRIDGE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446658",
            "telephone_number": "516-652-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 Woodbury Rd",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013036",
            "country_code": "US",
            "telephone_number": "516-652-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTEGIACOMO",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.