NPIMap

Organization Active NPI

Journeys Behavior Learning Center LLC

  • Developmental Disabilities Clinic/Center
  • Mishawaka, IN
National Provider Identifier
1467924324
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
JOURNEYS BEHAVIOR LEARNING CENTER LLC
Practice address
1316 W Dragoon TRL
Mishawaka, IN 46544-4713
Phone
(574) 314-0843
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mr. Joshua Smith, MBA
Title
Owner
Phone
(843) 609-5885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1316 W Dragoon TRL
Mishawaka, IN 46544-4713

Mailing address

1316 W Dragoon TRL
Mishawaka, IN 46544-4713
Phone (843) 609-5885

Other practice location 1

17106 Cleveland Rd
South Bend, IN 46635-1414
Phone (574) 855-4292

Other names 1

  • Journeys Autism Center Doing business as

National Provider Directory

National Provider Directory

Locations

1316 W Dragoon Trl
Mishawaka, IN 46544
Phone (574) 855-4292

17106 Cleveland Rd
South Bend, IN 46635
Phone (574) 855-4292

Practitioners & affiliated clinicians

Practitioners 162

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

View all 162

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1467924324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W DRAGOON TRL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444713",
            "telephone_number": "843-609-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W DRAGOON TRL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444713",
            "telephone_number": "574-314-0843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17106 Cleveland Rd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351414",
            "country_code": "US",
            "telephone_number": "574-855-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEYS BEHAVIOR LEARNING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-609-5885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journeys Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.