Individual provider Active NPI

Maria Candida Potdar

  • Behavior Analyst
  • Palm Desert, CA
National Provider Identifier
1659782639
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-56739 Issued in FL
Practice address
36947 Cook St Ste 101
Palm Desert, CA 92211-6078
Phone
(412) 720-4789
NPI assigned
May 13, 2014
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 1-21-56739 FL Primary

Addresses

Primary practice location

36947 Cook St Ste 101
Palm Desert, CA 92211-6078

Mailing address

6049 Nocklyn Rd
Spring Hill, FL 34609-8720
Phone (412) 720-4789

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1659782639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 NOCKLYN RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098720",
            "telephone_number": "412-720-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36947 COOK ST STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116078",
            "telephone_number": "412-720-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTDAR",
        "first_name": "MARIA",
        "middle_name": "CANDIDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-56739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.