Organization Active NPI

Applied Behavioral Health Consultants, LLC

  • Nursing Facility/Intermediate Care Facility
  • Des Moines, IA
National Provider Identifier
1427329630
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
001024 Issued in IA
Legal business name
APPLIED BEHAVIORAL HEALTH CONSULTANTS, LLC
Practice address
400 Locust St
Suite # 400
Des Moines, IA 50309-2331
Phone
(515) 664-2881
Fax
(515) 223-2371
NPI assigned
Jan 19, 2012
Organization subpart
Yes
Parent organization
APPLIED BEHAVIORAL HEALTH CONSULATNTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Daniel Ephraim Pott-Pepperman, PSY.D.
Title
Operating Officer
Phone
(515) 664-2881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 3564 CO
Nursing Facility/Intermediate Care Facility 313M00000X 001024 IA Primary

Addresses

Primary practice location

400 Locust St
Suite # 400
Des Moines, IA 50309-2331

Mailing address

PO Box 997
Des Moines, IA 50304-0997
Phone (515) 664-2881

Other names 1

  • ABHC Other name

National Provider Directory

National Provider Directory
Part of
Applied Behavioral HLTH LLC

Locations

400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1427329630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503040997",
            "telephone_number": "515-664-2881",
            "fax_number": "515-223-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST",
            "address_2": "SUITE # 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092331",
            "telephone_number": "515-664-2881",
            "fax_number": "515-223-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL HEALTH CONSULTANTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLIED BEHAVIORAL HEALTH CONSULATNTS, LLC",
        "enumeration_date": "2012-01-19",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "POTT-PEPPERMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EPHRAIM",
        "authorized_official_title_or_position": "OPERATING OFFICER",
        "authorized_official_telephone_number": "515-664-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "3564",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "001024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.