Kerry Peysson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

118 River Rd Ste 14
Harriman, NY 10926-3040

Phone

(845) 863-5208

Fax

(845) 395-9296

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Starbright Applied Behavior Analyst,PLLC

  • Community/Behavioral Health Agency
  • Marlboro, NY
  • NPI 1871842781
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1851026231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WINSTON PL",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125425967",
            "telephone_number": "845-863-5208",
            "fax_number": "845-395-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 RIVER RD STE 14",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263040",
            "telephone_number": "845-863-5208",
            "fax_number": "845-395-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYSSON",
        "first_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alisa_lanzetta@starbrightaba.com",
            "affiliation": "N",
            "address_1": "118 River Rd Ste 14",
            "city": "Harriman",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109263040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lara Clare O'Gorman, LCSW
• Orthotics LTD
• Amanda Packman
• Meghan Rose Pascullo, MS OTR/L
• Nelson Perez, BCBA, LBA
• Marykate Pignetti
• Yerelin Anairi Polanco
• Jensen Tyler Price
• Joanna M Rainato
• RCD NP in Psychiatry Services PLLC

• Behavior Technician in Harriman, NY
• Providers in Harriman, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.