Active NPI
Corrie L Liffland, BCBA, LBA
- Behavior Analyst
- South Salem, NY
National Provider Identifier
1760907703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1187 Route 35
South Salem, NY 10590-1434 - Phone
- (845) 901-7143
- NPI assigned
- Aug 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1101 | CT | |
| Behavior Analyst | 103K00000X | 001615 | NY | |
| Behavior Analyst | 103K00000X | 0133001901 | VA | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1187 Route 35
South Salem, NY 10590-1434
Mailing address
1187 Route 35
South Salem, NY 10590-1434
Phone (845) 901-7143
Other names 1
- Corrie L Rachinsky
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001615 | NY | MD | Behavioral Analyst |
| 0133001901 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Ambitions, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Wilton, CT
- NPI 1811653447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1760907703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 ROUTE 35",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105901434",
"telephone_number": "845-901-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 ROUTE 35",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105901434",
"telephone_number": "845-901-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIFFLAND",
"first_name": "CORRIE",
"middle_name": "L",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1101",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001615",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001901",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRIE",
"last_name": "RACHINSKY",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Salem, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.