NPIMap

Individual provider Active NPI

Kelly Planter, BCBA

  • Behavior Analyst
  • Hingham, MA
National Provider Identifier
1922535574
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2359 Issued in MA
Practice address
105 HMS Stayner Dr
Hingham, MA 02043-1664
Phone
(617) 957-6451
Fax
(781) 385-7324
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 2359 MA Primary

Addresses

Primary practice location

105 HMS Stayner Dr
Hingham, MA 02043-1664

Mailing address

105 HMS Stayner Dr
Hingham, MA 02043-1664
Phone (617) 957-6451

Other names 1

  • Kelly Horan Former name

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
2359MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Boston ABA Associates Behavior Analyst CurrentSince Sep 27, 2020 Accepting new patients
Harc, Inc. Past Accepting new patients
Harc, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1922535574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HMS STAYNER DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431664",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HMS STAYNER DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431664",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTER",
        "first_name": "KELLY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HORAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.