Active NPI
Mark Gulegin, MA
- Behavior Analyst
- El Dorado Hills, CA
National Provider Identifier
1780166751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-19-77919
- Practice address
- 1106 Windfield Way Ste 1
El Dorado Hills, CA 95762-9360 - Phone
- (916) 357-5837
- NPI assigned
- Sep 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-19-77919 | CA | Primary |
Addresses
Primary practice location
1106 Windfield Way Ste 1
El Dorado Hills, CA 95762-9360
Mailing address
6332 Claussen Way
North Highlands, CA 95660-4342
Phone (916) 977-0174
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-77919 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montessori Autism Programs & Services, Inc. | 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
- El Dorado Hills, CA
- NPI 1700265824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1780166751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6332 CLAUSSEN WAY",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956604342",
"telephone_number": "916-977-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 WINDFIELD WAY STE 1",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629360",
"telephone_number": "916-357-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULEGIN",
"first_name": "MARK",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-05",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "RBT-19-77919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.