NPIMap

Organization Active NPI

Behavior Change Success Corp

  • Community/Behavioral Health Agency
  • Massapequa Park, NY
National Provider Identifier
1821307406
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1095079 Issued in NY
Legal business name
BEHAVIOR CHANGE SUCCESS CORP
Practice address
331 Eastlake Ave
Massapequa Park, NY 11762-1836
Phone
(516) 640-0798
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Denise Victoria Wright, MS B.C.B.A.NPI 1720310303
Title
Director
Phone
(516) 799-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1095079 NY Primary

Addresses

Primary practice location

331 Eastlake Ave
Massapequa Park, NY 11762-1836

Mailing address

331 Eastlake Ave
Massapequa Park, NY 11762-1836
Phone (516) 640-0798

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1821307406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 EASTLAKE AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621836",
            "telephone_number": "516-640-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 EASTLAKE AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621836",
            "telephone_number": "516-640-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR CHANGE SUCCESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-799-1045",
        "authorized_official_credential": "MS B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "1095079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.