Individual provider Active NPI

Sadie Alexis Roush, RBT

  • Behavior Analyst
  • Flowood, MS
National Provider Identifier
1811636210
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
251095 Issued in MS
Practice address
215 Woodline Dr Ste a
Flowood, MS 39232-9721
Phone
(601) 407-9286
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 251095 MS Primary

Addresses

Primary practice location

215 Woodline Dr Ste a
Flowood, MS 39232-9721

Mailing address

215 Woodline Dr Ste a
Flowood, MS 39232-9721

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sadie@spectrumbehavioralservices.com Direct

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

State licenses

LicenseStateTypeSpecialty
251095MSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Behavioral Services CurrentSince Nov 24, 2025 Accepting new patients
Blue Sky Behavior Therapy Behavior Analyst CurrentSince Jun 5, 2022 Accepting new patients

Locations

215 Woodline Dr
Ste A
Flowood, MS 39232
Phone (601) 407-9286

402B Legacy Park
Ridgeland, MS 39157

Organizations & group practices 2

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1811636210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WOODLINE DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WOODLINE DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329721",
            "telephone_number": "601-407-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "SADIE",
        "middle_name": "ALEXIS",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "251095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sadie@spectrumbehavioralservices.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "215 Woodline Dr Ste A",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.