Individual provider Active NPI

Keri Spielmann, BCBA

  • Behavior Analyst
  • Ridgefield, CT
National Provider Identifier
1760813885
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14699 Issued in CT
Practice address
900 Ethan Allen Hwy
Ridgefield, CT 06877-2826
Phone
(203) 559-7023
NPI assigned
Dec 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14699 CT Primary

Addresses

Primary practice location

900 Ethan Allen Hwy
Ridgefield, CT 06877-2826

Mailing address

900 Ethan Allen Hwy
Ridgefield, CT 06877-2826
Phone (203) 559-7023

Other practice location 1

50 Miry Brook Rd
Danbury, CT 06810-7411
Phone (203) 559-7023

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

OrganizationSpecialtyStatusNew patients
Practical Skills Clinic LLC Behavior Analyst CurrentSince Aug 29, 2021 Accepting new patients
Keri Spielmann LLC Behavior Analyst CurrentSince Aug 29, 2021 Accepting new patients

Locations

50 Miry Brook Rd
Danbury, CT 06810
Phone (203) 343-0000

900 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 559-7023

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1385856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1760813885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772826",
            "telephone_number": "203-559-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772826",
            "telephone_number": "203-559-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Miry Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068107411",
            "country_code": "US",
            "telephone_number": "203-559-7023",
            "fax_number": "203-702-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIELMANN",
        "first_name": "KERI",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-01",
        "last_updated": "2021-08-23",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-13-14699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.