Henna Mutzen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43961 Issued in NY

Practice address

5 Lane St Unit 201
Monsey, NY 10952-4036

Phone

(917) 626-6470

NPI assigned

Oct 18, 2020

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Links Licensed Behavior Analyst PLLC

  • Behavior Analyst
  • Airmont, NY
  • NPI 1477236263
  NPD Authorized official

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1912506379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LANE ST UNIT 201",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109524036",
            "telephone_number": "917-626-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LANE ST UNIT 201",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109524036",
            "telephone_number": "917-626-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTZEN",
        "first_name": "HENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1406151201",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-20-43961",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monsey Pediatrics
• Leba Morgenstern, LMHC
• Sydney Mountzouris, BCBA
• Sara Mozes, MSCCC/SLP
• Mrothschild Mental Health Counseling PC
• Roberta Naiman, RN
• Eva Nakdimen
• Rachel Natanov
• Nathan Light DMD PLLC
• Leah Golda Nemon

• Behavior Analyst in Monsey, NY
• Providers in Monsey, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.