Organization Active NPI

Indiana Integrated Services LLC

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1316817844
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INDIANA INTEGRATED SERVICES LLC
Practice address
5625 N German Church Rd # 2056
Indianapolis, IN 46235-8513
Phone
(317) 969-8157
NPI assigned
Nov 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Isaac Wieder
Title
Owner
Phone
(317) 969-8157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5625 N German Church Rd # 2056
Indianapolis, IN 46235-8513

Mailing address

5625 N German Church Rd # 2056
Indianapolis, IN 46235-8513
Phone (317) 969-8157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1316817844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 N GERMAN CHURCH RD # 2056",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462358513",
            "telephone_number": "317-969-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 N GERMAN CHURCH RD # 2056",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462358513",
            "telephone_number": "317-969-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA INTEGRATED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-969-8157"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.