Individual provider Active NPI

Helena Han, PH.D., BCBA-D, NYLBA

  • Behavior Analyst
  • Long Island City, NY
National Provider Identifier
1962966523
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000904 Issued in NY
Practice address
11-20 46TH Road
Long Island City, NY 11101
Phone
(212) 564-2350
Fax
(212) 564-2578
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 000904 NY Primary

Addresses

Primary practice location

11-20 46TH Road
Long Island City, NY 11101

Mailing address

116 W 32ND St FL 8
New York, NY 10001-3214
Phone (212) 564-2350

Other practice location 1

116 W 32nd St Fl 8
New York, NY 10001-3214
Phone (212) 564-2350 ext. 2639

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000904NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare Managed Services, LLC Behavior Analyst Past Accepting new patients
Academy for Young Minds Behavior Analyst PastSince Mar 21, 2021 Accepting new patients

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1962966523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 32ND ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013214",
            "telephone_number": "212-564-2350",
            "fax_number": "212-564-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-20 46TH ROAD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "212-564-2350",
            "fax_number": "212-564-2578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W 32nd St Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013214",
            "country_code": "US",
            "telephone_number": "212-564-2350 x2639",
            "fax_number": "212-564-2578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "HELENA",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D, NYLBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.