Individual provider Active NPI

Arielle M Tannenholz, M.S. ED

  • Behavior Analyst
  • Philadelphia, PA
National Provider Identifier
1922380252
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002077 Issued in NY
Practice address
110 Church St
Philadelphia, PA 19106-2201
Phone
(267) 807-0550
NPI assigned
Sep 13, 2011
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NY
Behavior Analyst 103K00000X 002077 NY Primary

Addresses

Primary practice location

110 Church St
Philadelphia, PA 19106-2201

Mailing address

110 Church St
Philadelphia, PA 19106-2201
Phone (516) 216-9992

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

State licenses

LicenseStateTypeSpecialty
002077NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Kids Behavior Analyst CurrentSince Nov 19, 2023 Accepting new patients
Denise Wright Licensed Behavior Analyst PLLC Behavior Analyst Past Accepting new patients
Monsowitz Associates Past Accepting new patients
Elevated Kids Ny LLC Behavior Analyst PastSince May 19, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1922380252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062201",
            "telephone_number": "516-216-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062201",
            "telephone_number": "267-807-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENHOLZ",
        "first_name": "ARIELLE",
        "middle_name": "M",
        "credential": "M.S. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.