Individual provider Active NPI

Tom Zef Dusi, BCBA

  • Behavior Analyst
  • Staten Island, NY
National Provider Identifier
1881261386
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA477246 Issued in CT
Practice address
1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923
Phone
(718) 698-1300
NPI assigned
Jun 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 BCBA477246 CT Primary

Addresses

Primary practice location

1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923

Mailing address

95 Glen Hill Rd
Wilton, CT 06897-2424
Phone (917) 804-3106

Other practice location 1

95 Glen Hill Rd
Wilton, CT 06897-2424
Phone (917) 804-3106

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

LicenseStateTypeSpecialty
BCBA477246CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Great Ambitions, LLC CurrentSince Nov 16, 2021 Accepting new patients
Direct Behavioral Health Services LLC Behavior Analyst CurrentSince Jul 7, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1881261386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GLEN HILL RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972424",
            "telephone_number": "917-804-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-698-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Glen Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068972424",
            "country_code": "US",
            "telephone_number": "917-804-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSI",
        "first_name": "TOM",
        "middle_name": "ZEF",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "BCBA477246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.