Individual provider Active NPI

Jessica Mulvey

  • Behavior Analyst
  • Grand Junction, CO
National Provider Identifier
1942853650
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-36616 Issued in CO
Practice address
1025 Main St
Grand Junction, CO 81501-3540
Phone
(970) 317-7175
Fax
(970) 360-5542
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 1-19-36616 CO Primary

Addresses

Primary practice location

1025 Main St
Grand Junction, CO 81501-3540

Mailing address

PO Box 2924
Grand Junction, CO 81502-2924
Phone (970) 433-0117

Other practice location 1

827 Chipeta Ave
Grand Junction, CO 81501-3347
Phone (970) 433-0117

Other identifiers 1

IdentifierTypeStateIssuer
9000176002MedicaidCO

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley Behavior Services and Consulting Behavior Analyst CurrentSince Nov 1, 2020 Accepting new patients
Grand Valley Behavior Services and Consulting Current Accepting new patients

Locations

1027 Main St
Grand JCT, CO 81501

1025 Main St
Grand Junction, CO 81501
Phone (970) 317-7175

397 Ridges Blvd
Grand Junction, CO 81507
Phone (970) 216-9040

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1942853650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2924",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815022924",
            "telephone_number": "970-433-0117",
            "fax_number": "970-360-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAIN ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013540",
            "telephone_number": "970-317-7175",
            "fax_number": "970-360-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Chipeta Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815013347",
            "country_code": "US",
            "telephone_number": "970-433-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-19-36616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176002",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.