Active NPI
Jennifer R Heaney, MSED, BCBA, LBA
- Behavior Analyst
- Hampton Bays, NY
National Provider Identifier
1831436617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000957
- Practice address
- 8 Foxboro Rd
Hampton Bays, NY 11946-3810 - Phone
- (631) 591-1682
- NPI assigned
- Jan 13, 2013
- Last updated
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 493706111 | NY | |
| Specialist | 174400000X | 433260101 | NY | |
| Behavior Analyst | 103K00000X | 000957 | NY | Primary |
Addresses
Primary practice location
8 Foxboro Rd
Hampton Bays, NY 11946-3810
Mailing address
8 Foxboro Rd
Hampton Bays, NY 11946-3810
Phone (631) 591-1682
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000957 | NY | MD | Mental Health Counselor |
| 433260101 | NY | MD | Specialist |
| 493706111 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect N Care ABA | Behavior Analyst | Past | 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": "1358035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1831436617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 FOXBORO RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119463810",
"telephone_number": "631-591-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 FOXBORO RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119463810",
"telephone_number": "631-591-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEANEY",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "MSED, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-13",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "493706111",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "433260101",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.