Individual provider Active NPI

Kelly Lynne Zwirblia

  • Behavior Analyst
  • Belchertown, MA
National Provider Identifier
1932529146
Registry record updated Apr 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
266 Federal St
Belchertown, MA 01007-9773
Phone
(413) 204-3907
NPI assigned
Apr 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2014

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 MA Primary

Addresses

Primary practice location

266 Federal St
Belchertown, MA 01007-9773

Mailing address

266 Federal St
Belchertown, MA 01007-9773
Phone (413) 204-3907

Other identifiers 1

IdentifierTypeStateIssuer
103K00000XOtherMAPRIVATE INSURANCE

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

NPI Registry JSON

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

{
    "created_epoch": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398556800000",
    "number": "1932529146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 FEDERAL ST",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079773",
            "telephone_number": "413-204-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 FEDERAL ST",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079773",
            "telephone_number": "413-204-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIRBLIA",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-27",
        "last_updated": "2014-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "103K00000X",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belchertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; 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.