Active NPI
Diyeme Sergio Meshak, DM
- Behavior Technician
- Brownsburg, IN
National Provider Identifier
1477421840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CCABA
- Practice address
- 321 E Northfield Dr Ste 100
Brownsburg, IN 46112-2415 - Phone
- (317) 480-1056
- NPI assigned
- Oct 28, 2025
- Last updated
- Oct 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CCABA | IN | Primary |
Addresses
Primary practice location
321 E Northfield Dr Ste 100
Brownsburg, IN 46112-2415
Mailing address
3405 Prairie View Cir Apt G
Danville, IN 46122-8488
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 |
|---|---|---|---|
| CCABA | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1477421840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 PRAIRIE VIEW CIR APT G",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461228488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E NORTHFIELD DR STE 100",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461122415",
"telephone_number": "317-480-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESHAK",
"first_name": "DIYEME",
"middle_name": "SERGIO",
"credential": "DM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-28",
"last_updated": "2025-10-30",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "CCABA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.