Rocket Behavioral Health Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2011001018 Issued in MO

Legal business name

ROCKET BEHAVIORAL HEALTH SERVICES, LLC

Doing business as

Rocket Behavioral Health Services

Practice address

3000 Alsup Dr
Columbia, MO 65203-0802

Phone

(573) 825-0233

Fax

(573) 447-7567

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jamie M Severtson, BCBADNPI 1326285016

Title

Owner

Phone

(573) 825-0233

Specialties & licenses 1

Addresses

Other names 1

• Rocket Behavioral Health Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie M Severtson, PH.D., BCBA-D

  • Behavior Analyst
  • Columbia, MO
  • NPI 1326285016
  NPD (past) Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1619300233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30822",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652053822",
            "telephone_number": "573-825-0233",
            "fax_number": "573-447-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALSUP DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030802",
            "telephone_number": "573-825-0233",
            "fax_number": "573-447-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKET BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "SEVERTSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-825-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBAD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2011001018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocket Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Scott Robinson, D.D.S.
• Leann Robley, RD
• Diego A Rocha-Gonzales
• Catherine Alice Roche, PA-C
• Rock Solid PT LLC
• John Michael Rockett, MD
• Rocky Mountain Holdings LLC
• Shomita Rode, MD
• Barbara J Rodeman, APRN
• Jason T Rodier, M.D.

• Behavior Analyst in Columbia, MO
• Providers in Columbia, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.