NPIMap

Organization Active NPI

Missing Piece Behavioral Services, LLC

  • Behavior Analyst
  • Glenwood, IL
National Provider Identifier
1225899537
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MISSING PIECE BEHAVIORAL SERVICES, LLC
Practice address
115 N Oak St
Glenwood, IL 60425-1352
Phone
(773) 354-1511
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Sarah Diaz, M.S., BCBANPI 1164950234
Title
Ceo, Clinical Director and Bcba
Phone
(773) 354-1511

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 Primary

Addresses

Primary practice location

115 N Oak St
Glenwood, IL 60425-1352

Mailing address

115 N Oak St
Glenwood, IL 60425-1352
Phone (773) 354-1511

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1225899537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N OAK ST",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251352",
            "telephone_number": "773-354-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N OAK ST",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251352",
            "telephone_number": "773-354-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSING PIECE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO, CLINICAL DIRECTOR AND BCBA",
        "authorized_official_telephone_number": "773-354-1511",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.