Active NPI
Ivy Behavioral Group Inc
- Behavior Analyst
- Stuart, FL
National Provider Identifier
1851890628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- IVY BEHAVIORAL GROUP INC
- Practice address
- 2336 SE Ocean Blvd # 167
Stuart, FL 34996-3310 - Phone
- (772) 208-0071
- Fax
- (772) 213-9558
- NPI assigned
- Feb 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Gosser Ivy, BCBA
- Title
- Ceo/Owner
- Phone
- (772) 208-0071
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | 1-12-11892 | FL |
Addresses
Primary practice location
2336 SE Ocean Blvd # 167
Stuart, FL 34996-3310
Mailing address
1437 Denver Ave # 157
Loveland, CO 80538-5226
Phone (772) 208-0071
Other practice location 1
1226 SW Curry St
Port Saint Lucie, FL 34983-2510
Phone (970) 515-2741
Other practice location 2
1437 Denver Ave # 157
Loveland, CO 80538-5226
Phone (772) 208-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023921300 | Medicaid | FL |
Other names 1
- Ivy Behavioral Group
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | chatwithus@ivybehavioralgroup.com | Direct | |
| Direct Messaging Address | chatwithus@ivybehavioralgroup.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Stuart, FL
- NPI 1356644678
-
- Behavior Technician
- Palm City, FL
- NPI 1336791284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1851890628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 DENVER AVE # 157",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385226",
"telephone_number": "772-208-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 SE OCEAN BLVD # 167",
"city": "STUART",
"state": "FL",
"postal_code": "349963310",
"telephone_number": "772-208-0071",
"fax_number": "772-213-9558"
}
],
"practiceLocations": [
{
"address_1": "1226 SW Curry St",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349832510",
"country_code": "US",
"telephone_number": "970-515-2741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1437 Denver Ave # 157",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805385226",
"country_code": "US",
"telephone_number": "772-208-0071",
"fax_number": "772-213-9558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IVY BEHAVIORAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-07",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A",
"authorized_official_last_name": "IVY",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "GOSSER",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "772-208-0071",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "1-12-11892",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023921300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "chatwithus@ivybehavioralgroup.com",
"affiliation": "N",
"endpointDescription": "HIPAA secure email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "any content",
"address_1": "2336 SE Ocean Blvd # 167",
"city": "Stuart",
"state": "FL",
"country_code": "US",
"postal_code": "349963310",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chatwithus@ivybehavioralgroup.com",
"affiliation": "N",
"endpointDescription": "HIPAA Secure Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1437 Denver Ave # 157",
"city": "Loveland",
"state": "CO",
"country_code": "US",
"postal_code": "805385226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ivy Behavioral Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ivy Behavioral Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.