Active NPI
Joseph Matthew Sherman, M.S., BCBA
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1760057574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49160
- Practice address
- 101 W. Dupont Road
Fort Wayne, IN 46825 - Phone
- (260) 489-1777
- NPI assigned
- May 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-49160 | IN | |
| Behavior Analyst | 103K00000X | 1-21-49160 | Primary |
Addresses
Primary practice location
101 W. Dupont Road
Fort Wayne, IN 46825
Mailing address
101 W. Dupont Road
Fort Wayne, IN 46825
Phone (260) 489-1777
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1760057574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W. DUPONT ROAD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46825",
"telephone_number": "260-489-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W. DUPONT ROAD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46825",
"telephone_number": "260-489-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "JOSEPH",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-24",
"last_updated": "2025-01-15",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-21-49160",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-49160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.