Active NPI
Jacob Merlo, RBT
- Behavior Technician
- Merrillville, IN
National Provider Identifier
1508543752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-279789
- Practice address
- 8200 Georgia St
Merrillville, IN 46410-6227 - Phone
- (219) 791-1400
- NPI assigned
- Jun 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | RBT-23-279789 | IN | Primary |
Addresses
Primary practice location
8200 Georgia St
Merrillville, IN 46410-6227
Mailing address
8200 Georgia St
Merrillville, IN 46410-6227
Phone (219) 791-1400
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 |
|---|---|---|---|
| RBT-23-279789 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovations in Learning, PC | Behavior Technician | Current | Accepting new patients |
Locations
8200 Georgia St
Merrillville, IN 46410
Phone (219) 791-1400
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1508543752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 GEORGIA ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106227",
"telephone_number": "219-791-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 GEORGIA ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106227",
"telephone_number": "219-791-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERLO",
"first_name": "JACOB",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-23-279789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.