Angela Johanna Mendez

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

84 W Main St
East Islip, NY 11730-2335

Phone

(631) 992-0972

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Abc Rainbow Corp.

  • Behavior Analyst
  • East Islip, NY
  • NPI 1043105463
  NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1639902133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 208TH ST FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613215",
            "telephone_number": "240-447-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302335",
            "telephone_number": "631-992-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ANGELA",
        "middle_name": "JOHANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher B McCarthy, PHYSICAL THERAPIST
• Patrick John McCarthy I
• Adryan McClaren
• Anne Cecelia McCoy, R.N.
• Keith McFall, LMHC
• Michael Ladinsky DO PC
• Deborah Anne Miloscia
• Chang Hyun Min, MD
• Alexander F Minardi, PH.D.
• Margaret Mary Minogue, MAED.

• Assistant Behavior Analyst in East Islip, NY
• Providers in East Islip, NY by specialty
• Assistant Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.