Active NPI
Monarch Autism Therapy Services
- Behavior Analyst
- Joliet, IL
National Provider Identifier
1699145557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.