Individual provider Active NPI

Maria Constantinidis

  • Behavior Analyst
  • Flushing, NY
National Provider Identifier
1629678024
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
18938 46TH Ave
Flushing, NY 11358-3417
Phone
(718) 357-9490
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

18938 46TH Ave
Flushing, NY 11358-3417

Mailing address

18938 46TH Ave
Flushing, NY 11358-3417
Phone (718) 357-9490

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL - Other

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1629678024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18938 46TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583417",
            "telephone_number": "718-357-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18938 46TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583417",
            "telephone_number": "718-357-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINIDIS",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "-",
            "affiliation": "N",
            "endpointDescription": "-",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "-",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "-",
            "address_1": "18938 46th Ave",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113583417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.