Individual provider Active NPI

Harley Klemola, M.S. BCBA

  • Behavior Technician
  • Warwick, RI
National Provider Identifier
1902417934
Registry record updated Apr 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
491 Kilvert St
Warwick, RI 02886-1370
Phone
(401) 618-6991
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

491 Kilvert St
Warwick, RI 02886-1370

Mailing address

491 Kilvert St
Warwick, RI 02886-1370
Phone (401) 618-6991

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Harley.Klemola@momentumwebsite.org Health Information Exchange (HIE)

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Inc. Behavior Analyst CurrentSince Jun 18, 2023 Accepting new patients

Locations

491 Kilvert St
Warwick, RI 02886
Phone (401) 618-6991

Interoperability endpoints

  • Direct secure messaging: harley.klemola@momentumwebsite.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682121600000",
    "number": "1902417934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 KILVERT ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861370",
            "telephone_number": "401-618-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 KILVERT ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861370",
            "telephone_number": "401-618-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMOLA",
        "first_name": "HARLEY",
        "credential": "M.S. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-04-22",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Harley.Klemola@momentumwebsite.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "491 Kilvert St",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028861370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.