Organization Active NPI

Sunpetal Pediatric Therapy LLC

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1629801485
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNPETAL PEDIATRIC THERAPY LLC
Practice address
9505 Delegates Row
Indianapolis, IN 46240-3807
Phone
(812) 345-7210
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Julia Alm, M.A., BCBANPI 1578114369
Title
Owner/Bcba
Phone
(317) 207-0824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9505 Delegates Row
Indianapolis, IN 46240-3807

Mailing address

9505 Delegates Row
Indianapolis, IN 46240-3807
Phone (317) 207-0824

National Provider Directory

National Provider Directory

Locations

9505 Delegates Row
Indianapolis, IN 46240
Phone (812) 345-7210

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1629801485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 DELEGATES ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403807",
            "telephone_number": "317-207-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 DELEGATES ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403807",
            "telephone_number": "812-345-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNPETAL PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "ALM",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "317-207-0824",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 3, 2024; 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.