Active NPI
Madelyn O'Cull
- Behavior Analyst
- Carmel, IN
National Provider Identifier
1366010720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1081 3Rd Ave SW Ste 7
Carmel, IN 46032-7500 - Phone
- (317) 564-0934
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1081 3Rd Ave SW Ste 7
Carmel, IN 46032-7500
Mailing address
1389 W 86TH St # 170
Indianapolis, IN 46260-2101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBA-1-23-69894 | Other | BACB | |
| RBT-19-96302 | Other | BACB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Behavioral Services, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
1081 3rd Ave SW
Ste 7
Carmel, IN 46032
Phone (317) 564-0934
1389 W 86th St
Indianapolis, IN 46260
Phone (317) 409-6151
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Carmel, IN
- NPI 1598186363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1366010720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 W 86TH ST # 170",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 3RD AVE SW STE 7",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327500",
"telephone_number": "317-564-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CULL",
"first_name": "MADELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "BCBA-1-23-69894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-19-96302",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.