Jill Mengel, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3336 Issued in MA

Practice address

331 Montvale Ave
5TH Floor
Woburn, MA 01801-4675

Phone

(781) 281-7601

Fax

(781) 364-6209

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1720490485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19019 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563253",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MONTVALE AVE",
            "address_2": "5TH FLOOR",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014675",
            "telephone_number": "781-281-7601",
            "fax_number": "781-364-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGEL",
        "first_name": "JILL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-07-3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Melchiorri, DPT
• Melissa M Thompson DMD, PC
• Melrose-Wakefield Behavorial Health Center, P.C.
• Lori Meltzer, OTR
• Yesenia Menendez- Sanchez
• Ambika Menon
• Mental Health Alcove PC
• Mente Behavioral Health
• Marguerite Meregian, PT
• Wintana G Mesfin

• Behavior Analyst in Woburn, MA
• Providers in Woburn, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.