Individual provider Active NPI

Tanya L Zelwalk, MA/LBS

  • Behavior Analyst
  • York, PA
National Provider Identifier
1811358179
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH001676 Issued in PA
Practice address
1701 Taxville Rd
Apt 21F
York, PA 17408-4467
Phone
(717) 792-5242
NPI assigned
Mar 15, 2016
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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 BH001676 PA Primary

Addresses

Primary practice location

1701 Taxville Rd
Apt 21F
York, PA 17408-4467

Mailing address

2351 Freedom Way
Suite 200
York, PA 17402-9282
Phone (717) 600-0900

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

LicenseStateTypeSpecialty
BH001676PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Comprehensive Behavioral Health Services, LLC PastSince Oct 16, 2010 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, 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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1811358179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 FREEDOM WAY",
            "address_2": "SUITE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029282",
            "telephone_number": "717-600-0900",
            "fax_number": "717-600-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TAXVILLE RD",
            "address_2": "APT 21F",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084467",
            "telephone_number": "717-792-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELWALK",
        "first_name": "TANYA",
        "middle_name": "L",
        "credential": "MA/LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.