Phaedrus Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PHAEDRUS CONSULTING, LLC

Practice address

1112 Vessona Cir
Folsom, CA 95630-8727

Phone

(916) 906-4730

NPI assigned

Aug 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vanessa G Gruber

Title

Credentialing

Phone

(916) 802-1313

Specialties & licenses 1

Addresses

Other names 1

• New Planes Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Singh, BCBA

  • Behavior Analyst
  • Folsom, CA
  • NPI 1982141099
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1104593326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 VESSONA CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308727",
            "telephone_number": "916-906-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 VESSONA CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308727",
            "telephone_number": "916-906-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAEDRUS CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "916-802-1313"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Planes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Planes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Petersen
• Susan Elise Petersen, OT
• Heather Peterson, M.S., LMFT
• Laura Lynn Peterson, D.C.
• Jennifer Pettus
• Hanh Thi Pham, D.D.S.
• Tiffany H Phan, OD, FAAO
• Alicia Cherie Pharis
• Aida S. Phelan, M.D.
• Timothy Edwin Phelan, M.D.

• Behavior Analyst in Folsom, CA
• Providers in Folsom, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.