Connor R Cima

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945

Phone

(618) 206-8816

NPI assigned

Feb 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acorn Health of Illinois, LLC

  • Behavior Analyst
  • O Fallon, IL
  • NPI 1144867854
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1215529367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S CARBON ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591318",
            "telephone_number": "270-564-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EAGLE CTR STE 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691945",
            "telephone_number": "618-206-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMA",
        "first_name": "CONNOR",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317957959",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Christ
• Christian Social Services of Illinois
• Christianne Judy LCSW LLC
• Christina H Dothager MD LLC
• Gregory Scott Churchill, PHYSICIAN ASSISTANT
• Gerthy Cipus Pierre
• City of Ofallon
• Belinda M. Clark, MA
• Kathryn J Clayton
• Kristopher Clements, CRNA

• Behavior Technician in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.