Individual provider Active NPI

Melissa Ann Maurer Ellzy, BSSW, MA, BCBA

  • Behavior Analyst
  • Franklin, TN
National Provider Identifier
1639362452
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
231 Gardenridge Dr
Franklin, TN 37069-4029
Phone
(615) 480-1184
Fax
(615) 373-7512
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

231 Gardenridge Dr
Franklin, TN 37069-4029

Mailing address

231 Gardenridge Dr
Franklin, TN 37069-4029
Phone (615) 480-1184

Other identifiers 1

IdentifierTypeStateIssuer
1518659MedicaidTN

Other names 1

  • Melissa Ann Maurer Former name

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1639362452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GARDENRIDGE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370694029",
            "telephone_number": "615-480-1184",
            "fax_number": "615-373-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GARDENRIDGE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370694029",
            "telephone_number": "615-480-1184",
            "fax_number": "615-373-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER ELLZY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "BSSW, MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518659",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MAURER",
            "middle_name": "ANN",
            "credential": "BSSW, MA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.