Kelly Berardi

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1719606 Issued in NY

Practice address

1000 Rosedale Rd
Valley Stream, NY 11581-2703

Phone

(516) 224-0240

NPI assigned

Dec 3, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1730726274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 OAKLEY AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032520",
            "telephone_number": "516-567-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROSEDALE RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812703",
            "telephone_number": "516-224-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDI",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1719606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATION",
            "identifier": "1719606",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "knbee76@mshsg.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1000 Rosedale Rd",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115812703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruby Benjamin, N.P.
• Nigel Bennett
• Kenndra S Benoit
• Tarin Bent
• Sharon Benyaminy, TSHH
• Leah Berg, MS, RD, CDN
• Sarah Berkowitz Dienstag, DMD
• Evelyn J Berkowitz
• Lori S Berman, D.O.
• Martin Ira Berman, DDS

• Behavior Analyst in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.