Active NPI
Tabitha Kane
- Behavior Analyst
- Clinton, NY
National Provider Identifier
1629401245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 001805-01
- Practice address
- 136 College St
Clinton, NY 13323-1612 - Phone
- (315) 557-8255
- NPI assigned
- Aug 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 001805-01 | NY | Primary |
Addresses
Primary practice location
136 College St
Clinton, NY 13323-1612
Mailing address
136 College St
Clinton, NY 13323-1612
Phone (315) 557-8255
Other practice location 1
33 Turnpike Rd
Southborough, MA 01772-2108
Phone (508) 481-1015 ext. 3109
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001805-01 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New England Center for Children, Inc. | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Southborough, MA
- NPI 1629193776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1629401245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 COLLEGE ST",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231612",
"telephone_number": "315-557-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 COLLEGE ST",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231612",
"telephone_number": "315-557-8255"
}
],
"practiceLocations": [
{
"address_1": "33 Turnpike Rd",
"address_purpose": "LOCATION",
"city": "Southborough",
"state": "MA",
"postal_code": "017722108",
"country_code": "US",
"telephone_number": "508-481-1015 x3109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANE",
"first_name": "TABITHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001805-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NY
- Mary Jo Jones, MA
- Sarah Marie Jones, M.S., CCC-SLP
- Joshua D. Burgess LCSW
- Lisa Kaelin, LCSW-R
- Vigneswaran Kandiah, MD
- Donna R Kapes, LCSWR
- Jessica M Kast, RPA-C
- Katherine Luther Corporation
- Katherine Luther Health Care & Rehabilitation Center, Inc
- Katherine Luther Residential Healthcare & Rehabilitation Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.