Individual provider Active NPI

Shantale Dinh

  • Behavior Analyst
  • Hampstead, NH
National Provider Identifier
1942863709
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35754 Issued in NH
Practice address
2 Mary E Clark Dr Ste 5
Hampstead, NH 03841-5206
Phone
(603) 892-3134
NPI assigned
Apr 17, 2019
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-35754 NH Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

2 Mary E Clark Dr Ste 5
Hampstead, NH 03841-5206

Mailing address

2 Mary E Clark Dr Ste 5
Hampstead, NH 03841-5206

Other practice location 1

102 Peters St Ste 2
North Andover, MA 01845-5049
Phone (603) 892-3134

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
Pragmatic ABA Behavior Analyst CurrentSince May 1, 2020 Accepting new patients

Locations

2 Mary E Clark Dr
Ste 5
Hampstead, NH 03841
Phone (603) 892-3134

Organizations & group practices 1

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1942863709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARY E CLARK DR STE 5",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038415206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARY E CLARK DR STE 5",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038415206",
            "telephone_number": "603-892-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Peters St Ste 2",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018455049",
            "country_code": "US",
            "telephone_number": "603-892-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "SHANTALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-19-35754",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.