Spark Recovery of Indiana

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SPARK RECOVERY OF INDIANA

Practice address

9302 N Meridian St Ste 101
Indianapolis, IN 46260-1841

Phone

(317) 967-2220

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Yeruchem Biderman

Title

Ceo

Phone

(917) 842-3951

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1295411817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601841",
            "telephone_number": "317-967-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8005 Castleway Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462501946",
            "country_code": "US",
            "telephone_number": "317-967-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPARK RECOVERY OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "BIDERMAN",
        "authorized_official_first_name": "YERUCHEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-842-3951"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Jason Spangler
• Kristin Rae Spangler, MS
• Tanea Renee Spanton, PTA
• Michele R Spargur, NP
• Spark Dental in, LLC
• Mary Jo Sparke, LCSW
• Aaron Sparks, DPT
• Adrienne Michelle Sparks, PA
• Brandon Arnold Sparks, M.D.
• Clayton Sparks, LMHC, LCAC

• Substance Abuse Rehabilitation Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.