Kalifah Debrodt-Sharper

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3435 W 96TH St
Indianapolis, IN 46268-1102

Phone

(317) 802-7447

Fax

(317) 802-7325

NPI assigned

Nov 16, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Behavioral Health Solutions

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1114348703
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2020.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1508468448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681102",
            "telephone_number": "317-802-7447",
            "fax_number": "317-802-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681102",
            "telephone_number": "317-802-7447",
            "fax_number": "317-802-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRODT-SHARPER",
        "first_name": "KALIFAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ksharper@accessba.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Access Behavioral Health Solutions",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3435 W 96th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462681102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel P. Debikey, MD
• Tara H Debikey, M.D.
• Brian Jesse Debosch, MD
• Debra Taylor-McGee, Inc
• Debra V Clark
• David John Debrota, M.D.
• Jared Harrison Debruin
• Matthew E Deburger, CAA
• Natalie Rae Deburger, CAA
• Shelise Mahaia Decal, LMFT

• All providers in Indianapolis, IN
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.