Modern Day Therapy, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33006192A Issued in IN

Legal business name

MODERN DAY THERAPY, LLC

Practice address

3675 Washington Blvd
Indianapolis, IN 46205-3533

Phone

(317) 908-6063

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Alicia Cooley, MSW, LSW

Title

Executive Director/Founder

Phone

(317) 908-6063

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• India Savage Anderson, MSW, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1942628433
  NPD (past)
• Korinne Fox

  • Social Worker
  • Indianapolis, IN
  • NPI 1588871909
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1457779092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 WASHINGTON BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053533",
            "telephone_number": "317-908-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 WASHINGTON BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053533",
            "telephone_number": "317-908-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "317-908-6063",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006192A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201225250 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan R Mockbee
• Tara Marie Mocker
• Hallie Mockobee, RBT
• Mason Mockobee, DO
• Heather Mocny, BCBA
• Modern Strength Psychology Center
• Bansari Amrutlal Modhera
• Dhara Modi
• Ishaan Khelan Modi
• Ravish Modi

• Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.