Organization Active NPI

Empathic Space, LLC

Doing business as Empathic Space

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
National Provider Identifier
1386470318
Registry record updated Sep 9, 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
EMPATHIC SPACE, LLC
Doing business as
Empathic Space
Practice address
134 Lexington St
Valparaiso, IN 46385-7905
Phone
(219) 228-0107
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Desai Negrelli, LCSWNPI 1831937143
Title
Owner
Phone
(219) 228-0107

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

134 Lexington St
Valparaiso, IN 46385-7905

Mailing address

134 Lexington St
Valparaiso, IN 46385-7905
Phone (219) 228-0107

Other identifiers 1

IdentifierTypeStateIssuer
1831937143OtherININDIVIDUAL NPI

Other names 1

  • Empathic Space Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1386470318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 LEXINGTON ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857905",
            "telephone_number": "219-228-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 LEXINGTON ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857905",
            "telephone_number": "219-228-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPATHIC SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "NEGRELLI",
        "authorized_official_first_name": "DESAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-228-0107",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1831937143",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empathic Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.