Active NPI
Angela Herhalt
- Behavior Technician
- Noblesville, IN
National Provider Identifier
1639811623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1874123
- Practice address
- 1516 Rolling Ridge Dr
Noblesville, IN 46060-3921 - Phone
- (309) 531-5912
- NPI assigned
- Apr 10, 2022
- Last updated
- Apr 10, 2022
- Sex
- Female
- 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 | 1874123 | IN | Primary |
Addresses
Primary practice location
1516 Rolling Ridge Dr
Noblesville, IN 46060-3921
Mailing address
1516 Rolling Ridge Dr
Noblesville, IN 46060-3921
Phone (130) 953-1591
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 |
|---|---|---|---|
| 1874123 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649548800000",
"number": "1639811623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 ROLLING RIDGE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603921",
"telephone_number": "130-953-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 ROLLING RIDGE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603921",
"telephone_number": "309-531-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERHALT",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-10",
"last_updated": "2022-04-10",
"certification_date": "2022-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "1874123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.