Organization Active NPI

Monarch Autism Therapy Services

  • Behavior Analyst
  • Joliet, IL
National Provider Identifier
1699145557
Registry record updated Oct 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MONARCH AUTISM THERAPY SERVICES
Practice address
3611 Indian Head LN
Joliet, IL 60435-1590
Phone
(815) 603-8637
NPI assigned
Oct 4, 2015
Last updated
Oct 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2015

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

Authorized official

Name
Craig Martin
Title
Cfo
Phone
(815) 603-8637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3611 Indian Head LN
Joliet, IL 60435-1590

Mailing address

3611 Indian Head LN
Joliet, IL 60435-1590
Phone (815) 603-8637

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1699145557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 INDIAN HEAD LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351590",
            "telephone_number": "815-603-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 INDIAN HEAD LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351590",
            "telephone_number": "815-603-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH AUTISM THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-603-8637"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; 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.