Schileen Judith Helen Medlock

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1 State St FL Plaza29
New York, NY 10004-1561

Phone

(516) 206-8900

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1952113623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BENTON GRV APT 9108",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313221950",
            "telephone_number": "843-343-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STATE ST FL PLAZA29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041561",
            "telephone_number": "516-206-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "SCHILEEN",
        "middle_name": "JUDITH HELEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medispa One Ny Plaza LLC
• Samantha Meditz
• Ben Medley
• Andrew Blake Medlin, PT
• Barbara Medlin, NP
• Amy C. Mednick, M.D.
• Aron Joshua Mednick, M.D.
• Darlene M Mednick, R.PH. PHD
• Iosif Mednik
• Dorothy Medoff

• Behavior Technician in New York, NY
• Providers in New York, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.