Active NPI
Carli M Heiman, PHD, BCBA-D
- Behavior Analyst
- New York, NY
National Provider Identifier
1770108722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 002278-01
- Practice address
- 750 Columbus Ave Apt 10R
New York, NY 10025-6480 - Phone
- (201) 783-9360
- NPI assigned
- Jun 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-37968 | ||
| Behavior Analyst | 103K00000X | 002278-01 | NY | Primary |
Addresses
Primary practice location
750 Columbus Ave Apt 10R
New York, NY 10025-6480
Mailing address
750 Columbus Ave Apt 10R
New York, NY 10025-6480
Phone (201) 783-9360
Other practice location 1
225 Broadway Ste 2710
New York, NY 10007-3032
Phone (646) 975-8853
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002278-01 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1770108722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 COLUMBUS AVE APT 10R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256480",
"telephone_number": "201-783-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 COLUMBUS AVE APT 10R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256480",
"telephone_number": "201-783-9360"
}
],
"practiceLocations": [
{
"address_1": "225 Broadway Ste 2710",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100073032",
"country_code": "US",
"telephone_number": "646-975-8853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIMAN",
"first_name": "CARLI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD, BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-37968",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "002278-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.