Active NPI
Edelyne Marie Time
- Behavior Analyst
- New York, NY
National Provider Identifier
1861828782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 824061
- Practice address
- 184 Eldrige St.
New York, NY 10002 - Phone
- (347) 372-2827
- NPI assigned
- Sep 24, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 824061 | NY | Primary |
Addresses
Primary practice location
184 Eldrige St.
New York, NY 10002
Mailing address
184 Eldrige Street
New York, NY 10002
Phone (347) 372-2728
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 |
|---|---|---|---|
| 824061 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1861828782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 ELDRIGE STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "347-372-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 ELDRIGE ST.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "347-372-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIME",
"first_name": "EDELYNE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "824061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.