Individual provider Active NPI

Candace L Robinson

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1386381895
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3333 N Illinois St Ste 4
Indianapolis, IN 46208-4682
Phone
(317) 941-3370
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3333 N Illinois St Ste 4
Indianapolis, IN 46208-4682

Mailing address

3333 N Illinois St Ste 4
Indianapolis, IN 46208-4682
Phone (317) 941-3370

Other identifiers 1

IdentifierTypeStateIssuer
831171003MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL crobinson@peoplemakersindy.com

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

OrganizationSpecialtyStatusNew patients
People Makers Indy CurrentSince May 22, 2022 Accepting new patients

Locations

3333 N Illinois St
Ste 4
Indianapolis, IN 46208
Phone (317) 941-3370

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.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1386381895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N ILLINOIS ST STE 4",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084682",
            "telephone_number": "317-941-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N ILLINOIS ST STE 4",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084682",
            "telephone_number": "317-941-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CANDACE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831171003",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crobinson@peoplemakersindy.com",
            "affiliation": "N",
            "address_1": "3333 N Illinois St Ste 4",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462084682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 16, 2022; 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.