Organization Active NPI

New Roots Behavior Strategies LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fishers, IN
National Provider Identifier
1174948202
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
0-12-5015 Issued in IN
Legal business name
NEW ROOTS BEHAVIOR STRATEGIES LLC
Practice address
13448 Fulton Drive
Fishers, IN 46038
Phone
(574) 596-3155
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Robyn Thompson, BCABANPI 1659626273
Title
Behavior Analyst
Phone
(574) 596-3155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 0-12-5015 IN Primary

Addresses

Primary practice location

13448 Fulton Drive
Fishers, IN 46038

Mailing address

13448 Fulton Drive
Fishers, IN 46038
Phone (574) 596-3155

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": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1174948202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13448 FULTON DRIVE",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "574-596-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13448 FULTON DRIVE",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "574-596-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROOTS BEHAVIOR STRATEGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "574-596-3155",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": "0-12-5015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.