Individual provider Active NPI

Randall Alan Arms Jr., LCSW

  • Behavior Analyst
  • Vero Beach, FL
National Provider Identifier
1477878247
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1928 Issued in FL
Practice address
1515 Indian River Blvd
Suite A210
Vero Beach, FL 32960-5639
Phone
(772) 245-0222
Fax
(772) 231-5526
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 5443 FL
Behavior Analyst 103K00000X 1-04-1928 FL Primary

Addresses

Primary practice location

1515 Indian River Blvd
Suite A210
Vero Beach, FL 32960-5639

Mailing address

114 Pelican Dr
Melbourne Beach, FL 32951-3735
Phone (772) 538-2553

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

LicenseStateTypeSpecialty
SW 5443FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1477878247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PELICAN DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513735",
            "telephone_number": "772-538-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 INDIAN RIVER BLVD",
            "address_2": "SUITE A210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605639",
            "telephone_number": "772-245-0222",
            "fax_number": "772-231-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMS",
        "first_name": "RANDALL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5443",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.