Innovative Ideas LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1107089 Issued in NJ

Legal business name

INNOVATIVE IDEAS LLC

Practice address

12 Van Gogh Dr
East Windsor, NJ 08520-2999

Phone

(609) 721-2227

NPI assigned

Jul 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kamalathara Srikanth, M.A.T, BCBANPI 1396046157

Title

Clinical Director

Phone

(609) 721-2227

Specialties & licenses 1

Addresses

Tax ID family

Innovative Ideas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innovative Ideas LLC

  • Behavior Analyst
  • East Windsor, NJ
  • NPI 1609569508
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamalathara Srikanth, M.A, M.A.T, BCBA

  • Behavior Analyst
  • East Windsor, NJ
  • NPI 1396046157
  NPD Authorized official

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

{
    "created_epoch": "1437868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437868800000",
    "number": "1326423849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VAN GOGH DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202999",
            "telephone_number": "609-721-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VAN GOGH DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202999",
            "telephone_number": "609-721-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE IDEAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-26",
        "last_updated": "2015-07-26",
        "status": "A",
        "authorized_official_last_name": "SRIKANTH",
        "authorized_official_first_name": "KAMALATHARA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "609-721-2227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.T, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "1107089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hightstown Dentalcare LLC
• Jannifer Hill-Keyes, PH.D.
• Kalman Henry Hirsch, D. C.
• Horizon Audiology Inc
• Sam Husth
• Innovative Ideas LLC
• Joel David Iserson, D.DS.
• J M Podiatry Associates PC
• Syeda F. Jafri, DDS
• Sunit P Jariwala, MD

• Community/Behavioral Health Agency in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.