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Melissa Roth Doornek , BCBA

Behavior Analyst β€’ Delafield, WI

Active NPI 1013339639 Individual Practitioner Female Practitioner
Practice location in NPPES

3215 Golf Rd Ste 117
Delafield, WI 530182157

Call 2626726882 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3215 Golf Rd Ste 117

Delafield, WI 530182157

Telephone 2626726882
Organization at the Same NPPES Address or Phone
Advancing Choices, Inc. Facility NPI 1982246807

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in West Allis, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Delafield and Wisconsin

1 active clinicians are listed under Behavior Analyst with a practice address in Delafield, WI (858 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES WI 178-140

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Behavior Analyst Certification Board
1-17-25167
Other Identifier State Of Wisconsin
178-140 (WI)

Secondary Practice Locations

2222 S 114th St

West Allis, WI 532271031

Phone: 4149635940

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location May 03, 2019

Registered at 3215 GOLF RD STE 117, DELAFIELD, WI 530182157 (Tel: 2626726882)

πŸ‘€
Provider Name / Credentials Updated May 03, 2019

Recorded as MELISSA DOORNEK, BCBA

βœ…
NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address April 11, 2017

Registered at 304 REEDS DR, WEST BEND, WI 530953522 (Tel: 4145884427)

πŸ“
Updated Practice Location April 11, 2017

Registered at 2222 S 114TH ST, WEST ALLIS, WI 532271031 (Tel: 4149635940)

πŸ‘€
Provider Name / Credentials Updated April 11, 2017

Recorded as MELISSA ROTH, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Behavior Analyst (license number reported to NPPES: WI 178-140)

βœ…
NPI Profile Active January 16, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 16, 2014

Registered at 2222 S 114TH ST, WEST ALLIS, WI 532271031 (Tel: 4144494444)

πŸ“
Business Mailing Address (Initial Record) January 16, 2014

Registered at 2222 S 114TH ST, WEST ALLIS, WI 532271031 (Tel: 4144494444)

πŸ‘€
Provider Name / Credentials (Initial Record) January 16, 2014

Recorded as MELISSA ROTH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2014

Rehabilitation Practitioner

🟒
Initial NPI Registration & Enumeration January 16, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013339639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2014
Last Update: May 03, 2019
Sole Proprietor: No

Mailing Address

304 Reeds Dr

West Bend, WI 530953522

Phone: 4145884427

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.