Individual provider Active NPI

Adelina Pinhasov, MS ED, BCBA, LBA

  • Behavior Analyst
  • Flushing, NY
National Provider Identifier
1700138641
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001554 Issued in NY
Practice address
3635 170TH St
# 18
Flushing, NY 11358-2222
Phone
(646) 269-7626
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SE593325121 NY
Behavior Analyst 103K00000X 001554 NY Primary

Addresses

Primary practice location

3635 170TH St
# 18
Flushing, NY 11358-2222

Mailing address

300 Edwards St Apt 4Fe
Roslyn Heights, NY 11577-1191
Phone (646) 269-7626

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001554NYMDBehavioral Analyst
SE593325121NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1700138641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EDWARDS ST APT 4FE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771191",
            "telephone_number": "646-269-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 170TH ST",
            "address_2": "# 18",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582222",
            "telephone_number": "646-269-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINHASOV",
        "first_name": "ADELINA",
        "name_prefix": "Miss",
        "credential": "MS ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "SE593325121",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.