Individual provider Active NPI

Luis A Cruz

  • Behavior Analyst
  • Bronx, NY
National Provider Identifier
1922687813
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002500-01 Issued in NY
Practice address
2420 Hunter Ave Apt 15a
Bronx, NY 10475-5637
Phone
(929) 331-9692
NPI assigned
Apr 7, 2021
Reactivated
May 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Behavior Analyst 103K00000X 002500-01 NY Primary

Addresses

Primary practice location

2420 Hunter Ave Apt 15a
Bronx, NY 10475-5637

Mailing address

2420 Hunter Ave Apt 15a
Bronx, NY 10475-5637
Phone (929) 331-9692

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
002500-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Steps Foundation LLC Behavior Analyst CurrentSince May 14, 2023 Accepting new patients
Big Steps Foundations LLC Behavior Analyst CurrentSince Apr 30, 2023 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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1922687813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 HUNTER AVE APT 15A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755637",
            "telephone_number": "929-331-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 HUNTER AVE APT 15A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755637",
            "telephone_number": "929-331-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "deactivation_date": "2023-04-27",
        "reactivation_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002500-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.