Active NPI
Rachel Perryman
- Behavior Analyst
- Memphis, TN
National Provider Identifier
1417476102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2233 Lynnfield Rd BLDG B
Memphis, TN 38119-7238 - Phone
- (901) 586-8606
- Fax
- (317) 520-8200
- NPI assigned
- Sep 13, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-38279 | ||
| Behavior Analyst | 103K00000X | TN | Primary | |
| Behavior Analyst | 103K00000X | L58 | ND |
Addresses
Primary practice location
2233 Lynnfield Rd BLDG B
Memphis, TN 38119-7238
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
647 13th Ave E Ste A
West Fargo, ND 58078-3328
Phone (701) 277-8844
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Fargo |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L58 | ND | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Child & Adolescent Psychiatry Physician
- Brentwood, TN
- NPI 1881352177
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1417476102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 LYNNFIELD RD BLDG B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381197238",
"telephone_number": "901-586-8606",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "647 13th Ave E Ste A",
"address_purpose": "LOCATION",
"city": "West Fargo",
"state": "ND",
"postal_code": "580783328",
"country_code": "US",
"telephone_number": "701-277-8844",
"fax_number": "701-277-8847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRYMAN",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2024-01-24",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-17-38279",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ND",
"license": "L58",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Fargo",
"affiliation": "N",
"address_1": "647 13th Ave E Ste A",
"city": "West Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "580783328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.