Organization Active NPI

Cope Behavioral Consulting PC

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1467498162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040943A Issued in IN
Legal business name
COPE BEHAVIORAL CONSULTING PC
Practice address
4845 Goldenrain Court
Indianapolis, IN 46237-2564
Phone
(317) 440-7992
Fax
(317) 791-1939
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Scott Speiden, PHD HSPPNPI 1063454700
Title
Chairman of the Board
Phone
(317) 440-7992

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 20040943A IN Primary

Addresses

Primary practice location

4845 Goldenrain Court
Indianapolis, IN 46237-2564

Mailing address

4845 Goldenrain Court
Indianapolis, IN 46237-2564
Phone (317) 440-7992

Other names 1

  • Cope Behavioral Consulting PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060816000531 IN Part B Supplier - Clinic/Group Practice 0446253223 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN; Greensburg, IN; Franklin, IN

National Provider Directory

National Provider Directory

Locations

1600 Albany St
#200
Beech Grove, IN 46107
Phone (317) 782-6669

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467498162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 GOLDENRAIN COURT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372564",
            "telephone_number": "317-440-7992",
            "fax_number": "317-791-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 GOLDENRAIN COURT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372564",
            "telephone_number": "317-440-7992",
            "fax_number": "317-791-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPE BEHAVIORAL CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPEIDEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "317-440-7992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD HSPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040943A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cope Behavioral Consulting PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.