Individual provider Active NPI

Joseph Peysin, BCBA

  • Behavior Analyst
  • South Euclid, OH
National Provider Identifier
1669032199
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
00871 Issued in OH
Practice address
2121 S Green Rd
South Euclid, OH 44121-3338
Phone
(833) 624-6385
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 00871 OH Primary

Addresses

Primary practice location

2121 S Green Rd
South Euclid, OH 44121-3338

Mailing address

14495 Washington Blvd
University Heights, OH 44118-4662
Phone (773) 255-1741

Other practice location 1

27900 Gates Mills Blvd
Pepper Pike, OH 44124-4734
Phone (773) 255-1741

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

State licenses

LicenseStateTypeSpecialty
00871OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Friendship Circle of Cleveland Behavior Analyst Current Accepting new patients
Friendship Educational and Therapy Services, Inc. Behavior Analyst Current Accepting new patients
Pieces Early Learning, LLC Past Accepting new patients

Locations

27900 Gates Mills Blvd
Pepper Pike, OH 44124
Phone (216) 377-3000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1669032199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14495 WASHINGTON BLVD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441184662",
            "telephone_number": "773-255-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S GREEN RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213338",
            "telephone_number": "833-624-6385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27900 Gates Mills Blvd",
            "address_purpose": "LOCATION",
            "city": "Pepper Pike",
            "state": "OH",
            "postal_code": "441244734",
            "country_code": "US",
            "telephone_number": "773-255-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEYSIN",
        "first_name": "JOSEPH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "00871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.