Individual provider Active NPI

Hattie-Angelys I Fox, MS ED./ SP. ED.

  • Specialist
  • State College, PA
National Provider Identifier
1609130848
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2160 Sandy Dr Ste D
State College, PA 16803-2205
Phone
(814) 380-9180
NPI assigned
Jul 3, 2012
Last updated
May 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Behavior Analyst 103K00000X 000439-01 NY
Behavior Analyst 103K00000X BH007695 PA

Addresses

Primary practice location

2160 Sandy Dr Ste D
State College, PA 16803-2205

Mailing address

175 W 22ND St
Deer Park, NY 11729-4809
Phone (631) 236-8774

Other identifiers 1

IdentifierTypeStateIssuer
17OtherNYSPECIALIST

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000439-01NYMDBehavioral Analyst
BH007695PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hummingbird ABA Therapy, LLC Behavior Analyst CurrentSince May 11, 2025 Accepting new patients

Locations

2160 Sandy Dr
Ste D
State College, PA 16803
Phone (814) 380-9180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1609130848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 22ND ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294809",
            "telephone_number": "631-236-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-380-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "HATTIE-ANGELYS",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MS ED./ SP. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000439-01",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "17",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; 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.