Active NPI
Kelsey Elizabeth Greene
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1659913093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37937
- Practice address
- 8885 Rio San Diego Dr
San Diego, CA 92108-1624 - Phone
- (617) 756-0825
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 1-19-37937 | MA | Primary |
Addresses
Primary practice location
8885 Rio San Diego Dr
San Diego, CA 92108-1624
Mailing address
8885 Rio San Diego Dr
San Diego, CA 92108-1624
Phone (617) 756-0825
Other practice location 1
1159 Hornblend St
San Diego, CA 92109-4137
Phone (617) 756-0825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-19-37937 | Other | MA | BCBA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kelsey.g@mebefamily.com | Direct |
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": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1659913093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 RIO SAN DIEGO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081624",
"telephone_number": "617-756-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8885 RIO SAN DIEGO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081624",
"telephone_number": "617-756-0825"
}
],
"practiceLocations": [
{
"address_1": "1159 Hornblend St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921094137",
"country_code": "US",
"telephone_number": "617-756-0825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "KELSEY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-19-37937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-19-37937",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelsey.g@mebefamily.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8885 Rio San Diego Dr",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921081624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.