Individual provider Active NPI

Timothy Sessoms, M.S.

  • Behavior Analyst
  • Bronx, NY
National Provider Identifier
1710638507
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2894 Valentine Ave
Bronx, NY 10458-2702
Phone
(914) 373-9722
NPI assigned
Jan 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychoanalyst 102L00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2894 Valentine Ave
Bronx, NY 10458-2702

Mailing address

1032 Rev James a Polite Ave # 3B
Bronx, NY 10459-2701
Phone (914) 373-9722

Other practice location 1

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-1903

Other practice location 2

1032 Rev James A Polite Ave # 3B
Bronx, NY 10459-2701
Phone (914) 373-9722

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

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1710638507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 REV JAMES A POLITE AVE # 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592701",
            "telephone_number": "914-373-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 VALENTINE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582702",
            "telephone_number": "914-373-9722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7649 Hewlett St",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401429",
            "country_code": "US",
            "telephone_number": "212-388-1903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Rev James A Polite Ave # 3B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104592701",
            "country_code": "US",
            "telephone_number": "914-373-9722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SESSOMS",
        "first_name": "TIMOTHY",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.