Individual provider Active NPI

Sarah Emily Kelsey, BCBA

  • Behavior Analyst
  • Zionsville, IN
National Provider Identifier
1699220830
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4370 Weston Pointe Dr Ste 120&140
Zionsville, IN 46077-7202
Phone
(317) 627-5555
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-22740 IN
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4370 Weston Pointe Dr Ste 120&140
Zionsville, IN 46077-7202

Mailing address

7507 Michigan Rd
Indianapolis, IN 46268-2321
Phone (765) 446-4185

Other practice location 1

11530 Allisonville Rd
Fishers, IN 46038-1866
Phone (317) 742-9730

Other identifiers 2

IdentifierTypeStateIssuer
1-16-22740OtherBOARD CERTIFICATION
300010161MedicaidIN

Other names 1

  • Sarah Emily Causey Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful and Modern Methods for ABA, Inc Behavior Analyst CurrentSince Jul 7, 2024 Accepting new patients
Circle City ABA Behavior Analyst Past Accepting new patients
Adaptive Community Support Services Inc Behavior Analyst Past Accepting new patients

Locations

7507 Michigan Rd
Indianapolis, IN 46268
Phone (317) 515-9514

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1699220830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 MICHIGAN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682321",
            "telephone_number": "765-446-4185",
            "fax_number": "765-448-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 WESTON POINTE DR STE 120&140",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777202",
            "telephone_number": "317-627-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11530 Allisonville Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460381866",
            "country_code": "US",
            "telephone_number": "317-742-9730",
            "fax_number": "765-448-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "SARAH",
        "middle_name": "EMILY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-16-22740",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "1-16-22740",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010161",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CAUSEY",
            "middle_name": "EMILY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zionsville, IN

Sources for this page

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