Individual provider Active NPI

Kristina Mulno

  • Behavior Analyst
  • Andover, MA
National Provider Identifier
1801550538
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
461 River Rd
Andover, MA 01810-4349
Phone
(978) 654-4300
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 Primary

Addresses

Primary practice location

461 River Rd
Andover, MA 01810-4349

Mailing address

695 Wheeler Rd
Dracut, MA 01826-4256
Phone (978) 758-3684

Other identifiers 1

IdentifierTypeStateIssuer
1861568107OtherMAOTHER

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.consultation@melmarkne.org
Direct Messaging Address consultation@melmarkne.org

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

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1801550538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 WHEELER RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264256",
            "telephone_number": "978-758-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104349",
            "telephone_number": "978-654-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULNO",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1861568107",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.consultation@melmarkne.org",
            "affiliation": "N",
            "address_1": "461 River Rd",
            "city": "Andover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018104349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "consultation@melmarkne.org",
            "affiliation": "N",
            "address_1": "461 River Rd",
            "city": "Andover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018104349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.