NPIMap

Organization Active NPI

Sycamore Services, Inc.

  • Community/Behavioral Health Agency
  • Danville, IN
National Provider Identifier
1114204484
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
39000468A Issued in IN
Legal business name
SYCAMORE SERVICES, INC.
Practice address
1001 Sycamore LN
Danville, IN 46122-1474
Phone
(317) 745-7503
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. Patrick Cockrum, CEO
Title
Executive Director
Phone
(317) 745-7503

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 39000468A IN
Community/Behavioral Health Agency 251S00000X 39000468A IN Primary

Addresses

Primary practice location

1001 Sycamore LN
Danville, IN 46122-1474

Mailing address

1001 Sycamore LN
Danville, IN 46122-1474
Phone (317) 745-7503

Other identifiers 1

IdentifierTypeStateIssuer
39000468AOtherINLICENSED MENTAL HEALTH COUNSELOR

National Provider Directory

National Provider Directory
Tax ID family
Sycamore Rehabilitation Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1114204484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SYCAMORE LN",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221474",
            "telephone_number": "317-745-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SYCAMORE LN",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221474",
            "telephone_number": "317-745-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "COCKRUM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-745-7503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": "39000468A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39000468A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "39000468A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.