Organization Active NPI

Different Spectrums Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, IN
National Provider Identifier
1336971357
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIFFERENT SPECTRUMS CORP
Practice address
4101 Copper Valley Dr
Lafayette, IN 47909-8059
Phone
(248) 821-2659
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Dr. Nazeer Toufic Zerka IINPI 1275287583
Title
Coo
Phone
(248) 821-2659

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4101 Copper Valley Dr
Lafayette, IN 47909-8059

Mailing address

4101 Copper Valley Dr
Lafayette, IN 47909-8059
Phone (248) 821-2659

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": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1336971357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 COPPER VALLEY DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098059",
            "telephone_number": "248-821-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 COPPER VALLEY DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098059",
            "telephone_number": "248-821-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFERENT SPECTRUMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A",
        "authorized_official_last_name": "ZERKA",
        "authorized_official_first_name": "NAZEER",
        "authorized_official_middle_name": "TOUFIC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "248-821-2659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.