Organization Active NPI

Lifecourse Care PC

  • Behavior Analyst
  • Carmel, IN
National Provider Identifier
1760210942
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIFECOURSE CARE PC
Practice address
38 W Main St
Carmel, IN 46032-1764
Phone
(225) 241-2594
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Mrs. Tamara B Samson
Title
VP Revenue Cycle
Phone
(225) 241-2594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

38 W Main St
Carmel, IN 46032-1764

Mailing address

38 W Main St
Carmel, IN 46032-1764
Phone (225) 241-2594

Other practice location 1

1015 W Indiana St
Evansville, IN 47710-1117
Phone (888) 717-5835

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1760210942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W MAIN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321764",
            "telephone_number": "225-241-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W MAIN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321764",
            "telephone_number": "225-241-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 W Indiana St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101117",
            "country_code": "US",
            "telephone_number": "888-717-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFECOURSE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "225-241-2594",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.