Individual provider Active NPI

Jesse Goldlink, BCBA

  • Behavior Analyst
  • Oakland, CA
National Provider Identifier
1609486315
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-43300 Issued in CA
Practice address
6226 Antioch St
Oakland, CA 94611-2911
Phone
(510) 680-9250
NPI assigned
Aug 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 1-20-43300 CA Primary

Addresses

Primary practice location

6226 Antioch St
Oakland, CA 94611-2911

Mailing address

1720 Delaware St Apt 2
Berkeley, CA 94703-1376
Phone (510) 680-9250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jesse@bxmsolutions.com Direct Behavior Management Solutions LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Management Solutions LLC Behavior Analyst CurrentSince Aug 9, 2020 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, 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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609486315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 DELAWARE ST APT 2",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031376",
            "telephone_number": "510-680-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 ANTIOCH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112911",
            "telephone_number": "510-680-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDLINK",
        "first_name": "JESSE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-43300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesse@bxmsolutions.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Behavior Management Solutions LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6226 Antioch St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946112911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.