Drake Elliot Neimeyer

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH001832 Issued in PA

Practice address

4 Neshaminy Interplex Dr Ste 202
Trevose, PA 19053-6940

Phone

(215) 322-8860

NPI assigned

Jun 29, 2018

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pennhurst Group LLC

  dba Aveanna Healthcare

  • Community/Behavioral Health Agency
  • Bala Cynwyd, PA
  • NPI 1265687867

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1801381090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TERMINAL AVE FL 1",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190387835",
            "telephone_number": "215-266-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NESHAMINY INTERPLEX DR STE 202",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536940",
            "telephone_number": "215-322-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMEYER",
        "first_name": "DRAKE",
        "middle_name": "ELLIOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001832",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Mark Mikulski, D.O.
• Marissa M Morrison, COTA/L
• MVC PA PLLC (Metro Vein Centers)
• Megan Nachod, M.ED.
• Bonnie G Nadel, MD
• James Joseph O'Neill, OTR/L
• Therese Yoneko Parker
• Partnership for Community Supports
• Partnership for Community Supports
• Parth Patel

• Behavior Analyst in Trevose, PA
• Providers in Trevose, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.