Organization Active NPI

Possibility Place PSC

  • Behavior Analyst
  • Vine Grove, KY
National Provider Identifier
1225334337
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1095557 Issued in FL
Legal business name
POSSIBILITY PLACE PSC
Practice address
56 Cambridge CT
Vine Grove, KY 40175-5100
Phone
(270) 501-0858
Fax
(270) 828-8051
NPI assigned
Feb 7, 2011
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Michael TrottaNPI 1801124243
Title
President
Phone
(270) 501-0858

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1095557 FL Primary

Addresses

Primary practice location

56 Cambridge CT
Vine Grove, KY 40175-5100

Mailing address

56 Cambridge CT
Vine Grove, KY 40175-5100
Phone (270) 501-0858

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1225334337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CAMBRIDGE CT",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401755100",
            "telephone_number": "270-501-0858",
            "fax_number": "270-828-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CAMBRIDGE CT",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401755100",
            "telephone_number": "270-501-0858",
            "fax_number": "270-828-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSSIBILITY PLACE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "TROTTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-501-0858"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1095557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vine Grove, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.