Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Christopher R Vandyke , MS, BCBA

Behavior Analyst β€’ Green Bay, WI

Active NPI 1295189488 Individual Practitioner Male Practitioner
Practice location in NPPES

1575 Allouez Ave
Green Bay, WI 543115639

Call 9208579041 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

1575 Allouez Ave

Green Bay, WI 543115639

Telephone 9208579041
Fax 9208573366
Organization at the Same NPPES Address or Phone
Caravel Autism Health, Llc Facility NPI 1588993091

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

NPI first issued

2016

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 Green Bay and Wisconsin

33 active clinicians are listed under Behavior Analyst with a practice address in Green Bay, WI (858 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Green Bay

0% of these 33 clinicians have the CMS telehealth indicator.

0% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

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

Self-certified to NPPES: 2023-06-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES WI 144-140

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WI 8690-125
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 Wi License
144-140 (WI)

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2023

Counselor (license number reported to NPPES: WI 8690-125)

βœ…
NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 14, 2016

Registered at 1575 ALLOUEZ AVE, GREEN BAY, WI 543115639 (Tel: 9208579041)

πŸ“
Business Mailing Address (Initial Record) April 14, 2016

Registered at 1575 ALLOUEZ AVE, GREEN BAY, WI 543115639 (Tel: 9208579041)

πŸ‘€
Provider Name / Credentials (Initial Record) April 14, 2016

Recorded as CHRISTOPHER VANDYKE, M.S., BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Behavior Analyst (license number reported to NPPES: WI 144-140)

🟒
Initial NPI Registration & Enumeration April 14, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1295189488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2016
Last Update: June 13, 2023
Sole Proprietor: No

Mailing Address

1575 Allouez Ave

Green Bay, WI 543115639

Phone: 9208579041

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.