Individual provider Active NPI

Carli M Heiman, PHD, BCBA-D

  • Behavior Analyst
  • New York, NY
National Provider Identifier
1770108722
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002278-01 Issued in NY
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

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
002278-01NYMDBehavioral 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.

Verify at the official NPI Registry.