Individual provider Active NPI

Denisha Gingles

  • Behavior Analyst
  • Newark, NJ
National Provider Identifier
1932568177
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001235 Issued in NY
Practice address
108-136 Martin Luther King Jr Blvd Apt 2007
Newark, NJ 07104-5379
Phone
(314) 252-0513
NPI assigned
Feb 16, 2016
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP11134 MD
Professional Counselor 101YP2500X LGP11134 MD
Behavior Analyst 103K00000X 1-15-20644
Behavior Analyst 103K00000X 001235 NY Primary

Addresses

Primary practice location

108-136 Martin Luther King Jr Blvd Apt 2007
Newark, NJ 07104-5379

Mailing address

108-136 Martin Luther King Jr Blvd Apt 2007
Newark, NJ 07104-5379

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
LGP11134MDMDCounselor
001235NYMDPsychoanalysis Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Behavior Analytic Services, LLC Current Accepting new patients
Signature Behavior Analytic Services, LLC Counselor Current Accepting new patients
- Current 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, 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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1932568177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108-136 MARTIN LUTHER KING JR BLVD APT 2007",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071045379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108-136 MARTIN LUTHER KING JR BLVD APT 2007",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071045379",
            "telephone_number": "314-252-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGLES",
        "first_name": "DENISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP11134",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11134",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-20644",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.