Organization Active NPI

Under the Umbrella, LLC

  • Community/Behavioral Health Agency
  • Bloomington, IN
National Provider Identifier
1225418908
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jun 8, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.