Active NPI
Nibedita Medhi
- Behavior Analyst
- Seal Beach, CA
National Provider Identifier
1952119547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-77931
- Practice address
- 200 Marina Dr
Seal Beach, CA 90740-6023 - Phone
- (562) 431-9293
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-77931 | CA | Primary |
Addresses
Primary practice location
200 Marina Dr
Seal Beach, CA 90740-6023
Mailing address
200 Marina Dr
Seal Beach, CA 90740-6023
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Partnership, LLC | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1952119547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MARINA DR",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MARINA DR",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406023",
"telephone_number": "562-431-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDHI",
"first_name": "NIBEDITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-24-77931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.