Organization Active NPI

Cross River Therapy in

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1548867799
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CROSS RIVER THERAPY IN
Practice address
10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387
Phone
(919) 375-0475
Fax
(919) 928-5528
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Steven Zauderer
Title
Ceo
Phone
(919) 375-0475

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387

Mailing address

740 Cedar Lawn Ave
Far Rockaway, NY 11691-5304
Phone (919) 375-0475

Other practice location 1

1609 W McClain Ave Ste 511
Scottsburg, IN 47170-1161
Phone (919) 375-0475

National Provider Directory

National Provider Directory

Locations

1609 W McClain Ave
Scottsburg, IN 47170

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1548867799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CEDAR LAWN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915304",
            "telephone_number": "919-375-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CROSSPOINT BLVD STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563387",
            "telephone_number": "919-375-0475",
            "fax_number": "919-928-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 W McClain Ave Ste 511",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471701161",
            "country_code": "US",
            "telephone_number": "919-375-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSS RIVER THERAPY IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "ZAUDERER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-375-0475"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

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

Verify at the official NPI Registry.