NPIMap

Organization Active NPI

Purple Heart Autism Therapy

  • Assistant Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1144975889
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
PURPLE HEART AUTISM THERAPY
Practice address
5404 Catalpha Rd
Baltimore, MD 21214-1925
Phone
(443) 744-5368
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Irisha Lucas
Title
Owner
Phone
(443) 744-5368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X Primary

Addresses

Primary practice location

5404 Catalpha Rd
Baltimore, MD 21214-1925

Mailing address

5404 Catalpha Rd
Baltimore, MD 21214-1925
Phone (443) 744-5368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1144975889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 CATALPHA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141925",
            "telephone_number": "443-744-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 CATALPHA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141925",
            "telephone_number": "443-744-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE HEART AUTISM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "IRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-744-5368"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.