Active NPI
Thomas Anthony Decarli
- Behavior Analyst
- Arcata, CA
National Provider Identifier
1699500652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61650
- Practice address
- 251 E 13TH St
Arcata, CA 95521-6060 - Phone
- (707) 601-7088
- NPI assigned
- Sep 7, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Behavior Analyst
- Arcata, CA
- NPI 1407572886
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pillar 5 | Behavior Analyst | Current | Accepting new patients |
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 | 1-22-61650 | CA | Primary |
Addresses
Primary practice location
251 E 13TH St
Arcata, CA 95521-6060
Mailing address
251 E 13TH St
Arcata, CA 95521-6060
Phone (707) 601-7088
NPI Registry JSON
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1699500652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E 13TH ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216060",
"telephone_number": "707-601-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E 13TH ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216060",
"telephone_number": "707-601-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECARLI",
"first_name": "THOMAS",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-07",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-61650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.