Individual provider Active NPI

Julie A Angstadt, MA, LBS

  • Behavior Analyst
  • State College, PA
National Provider Identifier
1770193708
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB455459 Issued in NU
Practice address
2160 Sandy Dr Ste D
State College, PA 16803-2205
Phone
(814) 380-9180
NPI assigned
Aug 4, 2020
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 BACB455459 NU Primary

Addresses

Primary practice location

2160 Sandy Dr Ste D
State College, PA 16803-2205

Mailing address

2160 Sandy Dr Ste D
State College, PA 16803-2205

Other identifiers 1

IdentifierTypeStateIssuer
103793292-0004MedicaidPA

Other names 1

  • Julie A Blechman Former name

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
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hummingbird ABA Therapy, LLC Behavior Analyst CurrentSince Nov 1, 2020 Accepting new patients
Hummingbird ABA Therapy, LLC Behavior Analyst Current Accepting new patients

Locations

2160 Sandy Dr
Ste D
State College, PA 16803
Phone (814) 380-9180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1770193708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-380-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGSTADT",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "BACB455459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103793292-0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BLECHMAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.