Tysha L Rivich

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12460 Issued in IN

Practice address

8200 Georgia St
Merrillville, IN 46410-6227

Phone

(219) 791-1400

Fax

(219) 791-1422

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Innovations in Learning, PC

  • Behavior Analyst
  • Merrillville, IN
  • NPI 1689776718

  Mental Health

  NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1770707267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 RANDOLPH ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463427068",
            "telephone_number": "219-942-5590",
            "fax_number": "815-301-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GEORGIA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106227",
            "telephone_number": "219-791-1400",
            "fax_number": "219-791-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVICH",
        "first_name": "TYSHA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-12-12460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A Risner, OT
• Igor Ristevski, D.D.S.
• Rebecca Michelle Ritter, MD
• Kayla Rivera
• Leyani Elise Rivera, RBT
• Samantha Roadruck
• Jessica Robberts
• Brandi Robbins
• Lucille Robbins, LCSW
• Mario M Robbins, DO

• Behavior Analyst in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.