Active NPI
Joelle Antonia Opyt, MS., BCBA
- Behavior Analyst
- Merrillville, IN
National Provider Identifier
1073156402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-63017
- Practice address
- 8398 Mississippi St
Merrillville, IN 46410-6316 - Phone
- (219) 769-1048
- Fax
- (219) 769-1048
- NPI assigned
- Oct 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Analyst | 103K00000X | 1-22-63017 | IN | Primary |
Addresses
Primary practice location
8398 Mississippi St
Merrillville, IN 46410-6316
Mailing address
184 Crestview LN
Dyer, IN 46311-4610
Phone (219) 765-7741
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1073156402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 CRESTVIEW LN",
"city": "DYER",
"state": "IN",
"postal_code": "463114610",
"telephone_number": "219-765-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8398 MISSISSIPPI ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106316",
"telephone_number": "219-769-1048",
"fax_number": "219-769-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPYT",
"first_name": "JOELLE",
"middle_name": "ANTONIA",
"credential": "MS., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-17",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-22-63017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.