Active NPI
Under the Umbrella, LLC
- Community/Behavioral Health Agency
- Bloomington, IN
National Provider Identifier
1225418908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- UNDER THE UMBRELLA, LLC
- Practice address
- 1136 W 17TH St Ste B
Bloomington, IN 47404-3000 - Phone
- (812) 345-2570
- NPI assigned
- Jun 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Duffy, PHD
- Title
- Director, Clinical Psychologist
- Phone
- (812) 345-2570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1136 W 17TH St Ste B
Bloomington, IN 47404-3000
Mailing address
1136 W 17TH St Ste B
Bloomington, IN 47404-3000
Phone (812) 345-2570
National Provider Directory
National Provider DirectoryLocations
1136 W 17th St
Ste B
Bloomington, IN 47404
Phone (260) 227-1174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433721600000",
"number": "1225418908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 W 17TH ST STE B",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043000",
"telephone_number": "812-345-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 W 17TH ST STE B",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043000",
"telephone_number": "812-345-2570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNDER THE UMBRELLA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A",
"authorized_official_last_name": "DUFFY",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "DIRECTOR, CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "812-345-2570",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.