NPIMap

Organization Active NPI

Heartland Pediatric Feeding Disorders Services

  • Behavior Analyst
  • Montezuma, IA
National Provider Identifier
1770955536
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HEARTLAND PEDIATRIC FEEDING DISORDERS SERVICES
Practice address
121 Horseshoe Dr
Montezuma, IA 50171-8416
Phone
(515) 771-6248
NPI assigned
Oct 20, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Sean David Casey, PH.D., BCBANPI 1417251901
Title
Clinical Director
Phone
(515) 771-6248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Early Intervention Provider Agency 252Y00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

121 Horseshoe Dr
Montezuma, IA 50171-8416

Mailing address

121 Horseshoe Dr
Montezuma, IA 50171-8416
Phone (515) 771-6248

National Provider Directory

National Provider Directory

Practitioners & 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": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1770955536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HORSESHOE DR",
            "city": "MONTEZUMA",
            "state": "IA",
            "postal_code": "501718416",
            "telephone_number": "515-771-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HORSESHOE DR",
            "city": "MONTEZUMA",
            "state": "IA",
            "postal_code": "501718416",
            "telephone_number": "515-771-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PEDIATRIC FEEDING DISORDERS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "515-771-6248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.