Individual provider Active NPI

Kimberly Jasmin Bellomo

  • Behavior Analyst
  • Sacramento, CA
National Provider Identifier
1780979872
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
8801 Folsom Blvd Ste 265
Sacramento, CA 95826-3250
Phone
(916) 382-4447
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

8801 Folsom Blvd Ste 265
Sacramento, CA 95826-3250

Mailing address

4116 Hunters Dr
Loomis, CA 95650-9252
Phone (510) 590-8374

Other practice location 1

2680 Wai Wai Pl
Kihei, HI 96753-8178
Phone (808) 575-2954

Other practice location 2

7600 S Jones Blvd Apt 1019
Las Vegas, NV 89139-0516
Phone (510) 590-8374

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Beginnings Learning Center Behavior Analyst CurrentSince Jan 17, 2022 Accepting new patients
Horizons Academy of Maui, Inc. PastSince May 22, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1780979872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 HUNTERS DR",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509252",
            "telephone_number": "510-590-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FOLSOM BLVD STE 265",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263250",
            "telephone_number": "916-382-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Wai Wai Pl",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "967538178",
            "country_code": "US",
            "telephone_number": "808-575-2954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 S Jones Blvd Apt 1019",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891390516",
            "country_code": "US",
            "telephone_number": "510-590-8374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLOMO",
        "first_name": "KIMBERLY",
        "middle_name": "JASMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.